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Home / Ohio / Warrensville Heights

Avenue Care and Rehabilitation Center, the

4120 Interchange Corporate Center Road, Warrensville Heights, OH 44128 · Cuyahoga County · (216) 896-9900

97 certified beds, about 82 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 2010

Certified for Medicaid Certified for Medicare
Overall
1 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
4 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 366394 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on August 13, 2025, inspectors cited 26 health deficiencies (the Ohio average is 10.5, the national average 9.2).

Of 53 health citations since August 2019, 3 were rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).

CMS lists 2 fines totaling $34,146 in the last three years; the largest was $17,345, and the latest is dated January 10, 2025.

Nurses and nurse aides worked 3.58 hours per resident per day, against 3.69 across Ohio and 3.86 nationally. Registered nurses accounted for 0.52 of those hours.

67.5% 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.

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 53 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
1J
0K
0L
Actual harm
2G
0H
0I
Potential for more than minimal harm
38D
7E
4F
Potential for minimal harm
0A
0B
1C
December 18, 2025Complaint inspection · 2 citations
  1. F
    Employ staff that are licensed, certified, or registered in accordance with state laws.
    F839 · Administration · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) December 19, 2025
    Inspectors wroteBased on interview and review of the Ohio e-licensure verification website, the facility failed to ensure nursing staff had an active nursing license. This had the potential to affect all residents residing in the facility. The facility census was 83.
  2. D
    Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
    F691 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 19, 2025
    Inspectors wroteBased on interview, observation and review of photographs, the facility failed to ensure timely colostomy care was provided to residents. This affected one resident (#73) of one resident reviewed for colostomy care. The facility identified only one resident (#83) in-house with an ostomy. The facility census was 83.
October 29, 2025Complaint inspection · 4 citations
  1. E
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) December 18, 2025
    Inspectors wroteBased on observation, interview, record review, and review of the facility policy, the facility failed to ensure timely incontinence care was provided for four residents (Resident #34, #40, #43 and #84) of four residents reviewed for incontinence care. The facility census was 83.
  2. E
    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
    F725 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) December 18, 2025
    Inspectors wroteBased on observation, record review, interviews, and review of the facility assessment, the facility did not ensure staffing levels were sufficient to provide nursing and related services to maintain the highest practicable well-being of the residents. This affected four current Residents (#26, #34, #40, and #43) and one former resident (#84) of five residents reviewed for sufficient staffing and had potential to affect an additional 79 residents residing in the facility. The facility census was 83.
  3. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) December 18, 2025
    Inspectors wroteBased on observation, interview, record review, and review of the facility policy, the facility failed to maintain infection control practices while providing care to Resident #40 who required Enhanced Barrier Precautions (EBP). This affected one resident (Resident #40) of one resident observed for EBP and had the potential to affect an additional 41 residents (Resident #1, #2, #3, #6, #7, #8, #11, #15, #18, #19, #20, #21, #22, #23, #24, #26, #27, #28, #29, #31, #34, #35, #36, #39, #41, #43, #44, #46, #51, #55, #56, #59, #60, #61, #66, #75, #76, #77, #78, #81, and #83) who resided on the upper floor. The facility identified 19 residents (Resident #10, #11, #14, #17, #18, #20, #38, #39, #40, #45, #50, #53, #54, #56, #60, #66, #73, #74, and #75) as requiring EBP. The facility census was 83.
  4. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 18, 2025
    Inspectors wroteBased on record review, observation, interview, and review of facility policy, the facility did not ensure timely notification to the physician when Resident #67 displayed a change of condition from his baseline. This affected one resident ( Resident #67) of three residents reviewed for change of condition. The facility census was 83.
October 6, 2025Complaint inspection · 1 citation
  1. D
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 18, 2025
    Inspectors wroteBased on record review, review of the facility Self-Reported Incident (SRI), interview and policy review, the facility failed to ensure Resident #14 was free of sexual abuse from another resident (Resident #86). This affected one (Resident #14) of three residents reviewed for sexual abuse. The facility census was 93.
August 13, 2025Standard inspection, Complaint inspection · 26 citations
  1. F
    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
    F727 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) December 18, 2025
    Inspectors wroteBased on review of staffing schedules and staff interview, the facility failed to maintain the services of a registered nurse (RN) for at least eight consecutive hours a day, seven days a week as required. This had the potential to affect all 87 residents currently residing in the facility. The census was 87.
  2. F
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    F921 · Environmental · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) December 18, 2025
    Inspectors wroteBased on observation, staff interview, and policy review, the facility failed to maintain a clean, sanitary, and safe environment. This deficient practice had the potential to affect all 87 residents residing in the facility. The facility census was 87.
  3. E
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 18, 2025
    Inspectors wroteBased on medical record review, staff interview, medical record review, and policy review, the facility failed to revise the care plans as required and failed to ensure resident care planning conference were held as required. This affected four (#72, #25, #29, and #59) of seven residents reviewed for care plans and care planning conferences. The facility census was 87. Findings Include: 1. Review of the medical record revealed Resident #72 was admitted to the facility on [DATE] with diagnoses including hemiplegia and hemiparesis affecting the right dominant side after a stroke, aphasia (the inability to speak) after a stroke, osteomyelitis of vertebrae of the sacral and sacrococcygeal region, diabetes, high blood pressure, obstructive and reflux uropathy, and Alzheimer's disease with early onset. [...]
  4. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) December 18, 2025
    Inspectors wroteBased on observation and staff interview, the facility failed to ensure outdated drinks and food and beverage additives were stored in a manner to prevent spoilage. This had the potential to affect four ( #3, #28, #70, and #77) of four residents identified by the facility as receiving on thickened liquids. The facility census was 87.
  5. E
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) December 18, 2025
    Inspectors wroteBased on medical record review, staff interview, and policy review, the facility failed to ensure medical records were accurate and complete. This affected five (#1, #6, #30, #105, and #112) of 33 resident records reviewed. The facility census was 87.
  6. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 18, 2025
    Inspectors wroteBased on observation, resident and staff interview, medical record review, and review of the facility policy, the facility failed to ensure residents were provided with a dignified dining experience. This affected two (#25 and #95) out of three reviewed for respect and dignity. The facility census was 87.
  7. D
    Reasonably accommodate the needs and preferences of each resident.
    F558 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 18, 2025
    Inspectors wroteBased on observation, resident and staff interview, medical record review, review of an invoice, and review of the facility policy, the facility failed to ensure a resident's bed was appropriate to accommodate his height and weight and failed to ensure call lights were within reach for resident use. This affected three (#76, #44, and #95) out of seven residents reviewed for appropriate accommodation of needs. The facility census was 87.
  8. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 18, 2025
    Inspectors wroteBased on medical record review, staff interview, and review of a facility policy, the facility failed to ensure a resident's family or responsible party were notified of changes in condition. This affected one (#6) of two residents reviewed for change in condition. The census was 87.
  9. D
    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
    F582 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 18, 2025
    Inspectors wroteBased on medical record review and staff interview, the facility failed to ensure Notices of Medicare Non-Coverage (NOMNCs) were provided to Medicare Part A beneficiaries prior to the discontinuation of skilled services in a timely manner. This deficient practice affected two (#110 and #111) out of three residents reviewed for beneficiary notices. The facility census was 87.
  10. D
    Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
    F627 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 18, 2025
    Inspectors wroteBased on medical record review, staff interviews, review of self-reported incidents, review of discharge notices, and review of a policy review, the facility failed to ensure residents were permitted to return to the facility following a hospitalization and failed to ensure documentation of the need for discharge was reflected in the medical record to establish the need for discharge from the facility. This affected three residents (#18, #26 and #89) out of five residents reviewed for discharge. The facility census was 87.
  11. D
    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
    F628 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 18, 2025
    Inspectors wroteBased on medical record review, staff interview, and review of an Ombudsman notification log, the facility failed to ensure the Ombudsman was notified of resident hospitalizations as required. This affected three (#6, #17, and #24) of five residents reviewed for discharges. The census was 87.
  12. D
    Assess the resident when there is a significant change in condition
    F637 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 18, 2025
    Inspectors wroteBased on medical record review and staff interview, the facility failed to ensure a significant change in condition Minimum Data Set (MDS) assessment was conducted for Resident #64 following a significant change as required. This affected one (#64) of one residents reviewed for hospice services. The census was 87.
  13. D
    Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
    F646 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 18, 2025
    Inspectors wroteBased on record review and staff interview, the facility failed to notify the appropriate state agency, the Ohio Department of Mental Health (ODMH), of a significant change in a resident's mental health condition, as required. This deficient practice affected one (#38) of two residents reviewed for pre-admission screening and resident review (PASRR). The facility census was 87.
  14. D
    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
    F655 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 18, 2025
    Inspectors wroteBased on staff interview, record review, and policy review, the facility failed to ensure an initial baseline care plan was initiated within 48 hours of admission as required. This affected one (#105) of four residents reviewed for baseline care plans. The facility census was 87.
  15. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 18, 2025
    Inspectors wroteBased on observation, staff interview, medical record review, and review of the facility policy, the facility failed to ensure resident finger nail care was provided in an adequate manner. This affected one (#29) of six residents reviewed for activities of daily living (ADLs). The facility census was 87.
  16. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 18, 2025
    Inspectors wroteBased on observation, medical record review, and resident and staff interview, the facility failed to initiated orders timely and timely implement interventions for treatment of edema. This affected one (#88) of two residents reviewed for quality of care. The facility census was 87.
  17. D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 18, 2025
    Inspectors wroteBased on observation, interview, medical record review, and facility policy review, the facility failed to ensure Resident #31's unstageable pressure ulcer to the coccyx was accurately identified and treated timely. This affected one (Resident #31) of three residents reviewed for pressure ulcers. The facility census was 87.
  18. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 18, 2025
    Inspectors wroteBased on observation, medical record review, resident and staff interview, review of fall investigations, review of an incident log, and review of facility policies, the facility failed to ensure thorough fall investigations were completed, resident care plans were revised to reflect current fall interventions, and fall interventions were in place as ordered. This affected three (#20, #24, and #25) of three residents reviewed for falls. The facility census was 87.
  19. D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 18, 2025
    Inspectors wroteBased on observation, interview, medical record review, and policy review, the facility failed to ensure residents were provided with timely incontinence care. This affected two (#5 and #77) of four residents reviewed for bowel and bladder incontinence. The census was 87.
  20. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 18, 2025
    Inspectors wroteBased on observation, staff interview, and policy review, the facility failed to ensure resident oxygen tanks were stored in a secured manner. This affected three (#57, #75, and #30) of 45 residents who resided on the first floor of the facility. The facility census was 87.
  21. D
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 18, 2025
    Inspectors wroteBased on medical record review and staff interview, the facility failed to ensure an antibiotic medication was administered as ordered. This affected one (#102) of two residents reviewed for urinary tract infections. The census was 87.
  22. D
    Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
    F773 · Administration · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 18, 2025
    Inspectors wroteBased on medical record review, staff interview, and policy review, the facility failed to obtain laboratory values as ordered and failed to notify the physician of laboratory results as required. This affected one (#59) of two residents reviewed for urinary tract infections. The census was 87.
  23. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 18, 2025
    Inspectors wroteBased on observation, medical record review, interview, and policy review, the facility failed to ensure personal protective equipment (PPE) was utilized when providing care for residents on enhanced barrier precautions and failed to handle contaminated items in a safe manner. This affected one (#95) of two residents observed for infection control precautions. The facility census was 87.
  24. 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.
    F887 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 18, 2025
    Inspectors wroteBased on medical record review and staff interview, the facility did not ensure residents received COVID immunizations as requested. This affected three (#66, #86, and #55) of the eight residents reviewed for COVID immunizations. The census was 87.
  25. D
    Keep all essential equipment working safely.
    F908 · Environmental · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 18, 2025
    Inspectors wroteBased on observation, staff interview, and review of manufacturer's instructions, the facility failed to ensure side rails were securely attached and in place to prevent resident entrapment or other accidents. This deficient practice affected three (#50, #55, and #79) of 22 residents who utilized side rails for safety. The census was 87.
  26. C
    Post nurse staffing information every day.
    F732 · Nursing and Physician Services · No actual harm, potential for minimal harm, widespread · Corrected (the home has a date of correction) December 18, 2025
    Inspectors wroteBased on observation and staff interview, the facility failed to ensure the posted nursing staff information was up to date as required. This deficient practice had the potential to affect all 87 residents residing in the facility. The facility census was 87.
January 10, 2025Complaint inspection · 2 citations
  1. J
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteTHE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NONCOMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY. Based on observation, closed medical record review, review of the local police report, staff interviews, review of the National Weather Service forecast, review of the facility Elopement Policy and Procedure, review of Abuse, Neglect and Misappropriation Policy and Procedure, and review of camera footage, the facility failed to provide adequate supervision to prevent Resident #95, who had diagnoses of metabolic encephalopathy, malnutrition, and adult failure to thrive and severe cognitive impairment, from leaving the facility without staff knowledge. This resulted in Immediate Jeopardy and actual harm leading to death beginning on [DATE] at approximately 8:40 P.M. when Resident #95 was last seen inside the facility. On [DATE] at 9:30 P.M., [DATE] at 12:36 A.M. [...]
  2. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 31, 2025
    Inspectors wroteBased on closed record review, facility policy review and interview, the facility failed to report an incident of neglect involving Resident #95 to the State Agency as required. This affected one resident (#95) of four residents reviewed for neglect. The facility census was 91.
July 10, 2024Complaint inspection · 2 citations
  1. E
    Reasonably accommodate the needs and preferences of each resident.
    F558 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) July 30, 2024
    Inspectors wroteBased on medical record review, resident interview, staff interview, and review of the facility policy, the facility failed to ensure resident bathing preferences were honored. This affected four (Residents #21, #29, #34, and #58) of six residents reviewed for accommodation of needs. The facility also failed to ensure residents preferences regarding transfer in and out of bed were honored. This affected two (Residents #21 and #65) of six residents reviewed for accommodation of needs. The facility census was 91 residents.
  2. D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 30, 2024
    Inspectors wroteBased on medical record review, observation, resident interview, staff interview, and review of the facility policy, the facility failed to offer/provide timely incontinence care. This affected two (Residents #16 and #65) of three residents reviewed for incontinence care. The facility census was 91 residents.
April 25, 2024Complaint inspection · 2 citations
  1. G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 10, 2024
    Inspectors wroteBased on closed record review and interview the facility failed to ensure Resident #94 was provided a safe transfer via mechanical lift to prevent a fall with injury. This affected one resident (#94) of five residents reviewed for accidents. The facility identified 20 additional residents (#11, #14, #17, #18, #24, #26, #27, #32, #33, #36, #41, #46, #47, #49, #55, #71, #75, #82, #84, and #92) who required a mechanical lift for transfers. The facility census was 87. Actual Harm occurred on 04/19/24 when Resident #94, who was a bilateral above the knee amputee, exhibited balance deficits, was moderately cognitively impaired and was dependent on staff for transfers sustained a fall during a staff assisted mechanical (Hoyer) lift transfer. At the time of the incident, State Tested Nursing Assistant (STNA) #605 and STNA #617 were transferring Resident #94 from the bed to the chair. [...]
  2. D
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 10, 2024
    Inspectors wroteBased on observation, interview, record review and facility policy review, the facility failed to administer medications to Resident #52 without verifying that he ingested all the medications. This affected one resident (#52) of five residents reviewed for accidents. The facility census was 87.
November 21, 2023Complaint inspection · 2 citations
  1. G
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 7, 2023
    Inspectors wroteBased on observation, interview, record review and review of facility policy, the facility failed to ensure Resident #84 was free from significant medication error. Actual Harm occurred on [DATE] at 12:00 P.M. when Resident #84 who received Hospice services was administered 5 milliliters (ml) of Morphine Concentrate 20 milligrams (mg) per ml by mouth which equaled 100 mg medication, ten times the amount ordered, resulting in a medication overdose. Resident #84 was monitored by the facility nurses for respiratory distress and failure and was administered Narcan for respiratory distress on [DATE] at 7:03 P.M. This affected one resident (Resident #84) out of five reviewed for medication administration. The facility census was 79.
  2. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 7, 2023
    Inspectors wroteBased on observation, interview, record review and review of facility policy, the facility failed to ensure an open bottle of a controlled drug level two substance brought from home was handled properly to ensure accurate administration, failed to ensure accurate orders for a controlled drug level two substance were documented in Resident #84's medical record and failed to ensure verification of orders of a controlled drug level two substance with Resident #84's physician upon admission to the facility. This affected one resident (Resident #84) out of five reviewed for appropriate procedures followed for controlled drug level two substances. The facility census was 79.
September 7, 2023Complaint inspection · 1 citation
  1. D
    Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
    F626 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 19, 2023
    Inspectors wroteBased on medical record review, hospital record review, review of the facility assessment, review of facility policy and interviews with facility and hospital staff, the facility failed to ensure Resident #82 was allowed to return to the facility following a hospitalization for a psychiatric evaluation. This affected one resident (#82) of three residents reviewed for transfer/discharge. The facility census was 82.
May 24, 2023Standard inspection · 8 citations
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) June 30, 2023
    Inspectors wroteBased on observation, interview, and review of Resident Council minutes, the facility did not ensure foods were discarded prior to spoilage, foods were free from ice buildup in the freezer, and scoops were stored outside of bulk food bins. This had the potential to affect all 77 residents who received food from the kitchen. The facility identified two residents (#28 and #71) that received nothing by mouth. The facility census was 79.
  2. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 30, 2023
    Inspectors wroteBased on observation, record review, and staff interview, the facility failed to ensure resident Minimum Data Set (MDS) 3.0 assessments were completed accurately. This affected three residents (#26, #29, and #33) of 25 residents whose MDS assessments were reviewed. The facility census was 79.
  3. D
    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
    F655 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 30, 2023
    Inspectors wroteBased on record review and interview, the facility failed to develop a person-centered baseline care plan for Resident #277. This affected one resident (#277) of three residents reviewed for baseline care plans. The facility census was 79.
  4. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 30, 2023
    Inspectors wroteBased on observation, interview, record review, and facility policy review the facility failed to develop a person-centered care plan for Residents #5 and #56. This affected two residents (#5 and #56) of two residents who were reviewed with bilateral amputations. The facility census was 79.
  5. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 30, 2023
    Inspectors wroteBased on record review, observations, interview, and facility policy review the facility failed to ensure all residents were provided adequate and timely assistance with activity of daily care to meet their total care needs. This affected three residents (#25, #61, and #277) of five residents reviewed for activities of daily living. The facility census was 79.
  6. D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 30, 2023
    Inspectors wroteBased on observation, record review, interview, and facility policy review, the facility failed to ensure pressure ulcer treatments were completed as ordered for Resident #329 and failed to maintain adeqauate infection control practices during wound care to prevent the spread of infection to the resident. This affected one resident (#329) of five residents reviewed for pressure ulcers.
  7. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 30, 2023
    Inspectors wroteBased on observation, record review, interview, and review of the facility policy, the facility failed to provide adequate assistance to Resident #277 during a Hoyer (mechanical) lift transfer. This affected one resident (#277) of three residents reviewed for falls/accidents. The facility census was 79.
  8. D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 30, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to accurately document completed treatments provided for Residents #5 and #56. This affected two residents (#5 and #56) of two residents whose medical records were reviewed related to treatments. The facility census was 79.
August 22, 2019Standard inspection · 3 citations
  1. D
    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
    F688 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 20, 2019
    Inspectors wroteBased on observation, record review and interview the facility failed to ensure staff provided the hand splint for Resident #45 per his restorative program. This affected one out of one resident reviewed for restorative services.
  2. D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 20, 2019
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the medical record accurately reflected medication administration for Resident #36, supplement intake for Resident #64, and use of an orthotic device for Resident #72. This affected three of 23 resident records reviewed.
  3. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 20, 2019
    Inspectors wroteBased on observation, record review, and interview, the facility failed to maintain respiratory equipment for Resident #33 and Resident #28 and failed to complete a dressing change for Resident #72 in a sanitary manner to prevent contamination. This affected two of two residents reviewed for respiratory equipment and one of two residents reviewed for dressing changes.

Fire safety inspections

34 fire safety citations on file: 9 on August 13, 2025, 13 on May 24, 2023, 12 on August 22, 2019.

Every fire safety citation34 citations
  1. 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.
    K 222 · August 13, 2025 · Corrected (the home has a date of correction)
  2. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · August 13, 2025 · Corrected (the home has a date of correction)
  3. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · August 13, 2025 · Corrected (the home has a date of correction)
  4. F
    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
    K 914 · August 13, 2025 · Corrected (the home has a date of correction)
  5. F
    Have a battery powered remote alarm panel in a location accessible by operating personnel.
    K 916 · August 13, 2025 · Corrected (the home has a date of correction)
  6. E
    Provide properly protected cooking facilities.
    K 324 · August 13, 2025 · Corrected (the home has a date of correction)
  7. E
    Have properly installed electrical wiring and gas equipment.
    K 511 · August 13, 2025 · Corrected (the home has a date of correction)
  8. E
    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
    K 741 · August 13, 2025 · Corrected (the home has a date of correction)
  9. E
    Have proper medical gas storage and administration areas.
    K 923 · August 13, 2025 · Corrected (the home has a date of correction)
  10. F
    Have an enclosure around a vertical opening shaft.
    K 311 · May 24, 2023 · Corrected (the home has a date of correction)
  11. F
    Provide properly protected cooking facilities.
    K 324 · May 24, 2023 · Corrected (the home has a date of correction)
  12. F
    Properly provide smoke detection systems in areas open to corridors.
    K 347 · May 24, 2023 · Corrected (the home has a date of correction)
  13. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · May 24, 2023 · Corrected (the home has a date of correction)
  14. F
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · May 24, 2023 · Corrected (the home has a date of correction)
  15. F
    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
    K 741 · May 24, 2023 · Corrected (the home has a date of correction)
  16. F
    Have restrictions on the use of highly flammable decorations.
    K 753 · May 24, 2023 · Corrected (the home has a date of correction)
  17. F
    Ensure electrical receptacles or cover plates have distinctive color or marking.
    K 917 · May 24, 2023 · Corrected (the home has a date of correction)
  18. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · May 24, 2023 · Corrected (the home has a date of correction)
  19. F
    Ensure proper usage of power strips and extension cords.
    K 920 · May 24, 2023 · Corrected (the home has a date of correction)
  20. F
    Have proper medical gas storage and administration areas.
    K 923 · May 24, 2023 · Corrected (the home has a date of correction)
  21. E
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · May 24, 2023 · Corrected (the home has a date of correction)
  22. E
    Have properly installed electrical wiring and gas equipment.
    K 511 · May 24, 2023 · Corrected (the home has a date of correction)
  23. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · August 22, 2019 · Corrected (the home has a date of correction)
  24. F
    Have simulated fire drills held at unexpected times.
    K 712 · August 22, 2019 · Corrected (the home has a date of correction)
  25. F
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · August 22, 2019 · Corrected (the home has a date of correction)
  26. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · August 22, 2019 · Corrected (the home has a date of correction)
  27. E
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · August 22, 2019 · Corrected (the home has a date of correction)
  28. E
    Install corridor and hallway doors that block smoke.
    K 363 · August 22, 2019 · Corrected (the home has a date of correction)
  29. E
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · August 22, 2019 · Corrected (the home has a date of correction)
  30. E
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · August 22, 2019 · Corrected (the home has a date of correction)
  31. E
    Have restrictions on the use of portable space heaters.
    K 781 · August 22, 2019 · Corrected (the home has a date of correction)
  32. E
    Ensure proper usage of power strips and extension cords.
    K 920 · August 22, 2019 · Corrected (the home has a date of correction)
  33. C
    Include a process for Emergency Preparedness collaboration.
    E 9 · August 22, 2019 · Corrected (the home has a date of correction)
  34. C
    Address subsistence needs for staff and patients.
    E 15 · August 22, 2019 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
January 10, 2025Fine $17,345
April 25, 2024Fine $16,801

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeOhioUnited States
All nursing staff (RN, LPN and aides)3.583.693.86
Registered nurses0.520.640.69
All nursing staff on weekends3.263.283.42
Nurse aides1.96
Licensed practical nurses1.10
Nursing staff turnover (share who left in a year)67.5%48.7%45.8%
Registered nurse turnover63.2%43.9%42.9%
Administrators who left1

CMS expects 4.56 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 3.71 on weekdays and 3.26 on weekends, 12% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 12.3% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.75 in April to June 2025 to 3.58 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.580.523.713.26 12.3%0 of 9082
Oct to Dec 20253.810.774.003.35 3.5%0 of 9284
Jul to Sep 20253.340.423.562.79 0.0%0 of 9289
Apr to Jun 20253.750.794.003.13 0.0%0 of 9186
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Ohio, Jan to Mar 20263.640.603.803.244.6%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. If you work here, your report helps start one.

Official wage estimates for Ohio

JobMedianMiddle halfEmployed
Ohio, all employers
CNAs (nursing assistants)$18.76$17.93 to $21.4463,280
LPNs and LVNs$29.78$27.34 to $31.6839,900
Registered nurses$39.67$38.08 to $47.61143,730
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

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.

Work here? Share your pay anonymously

For Avenue Care and Rehabilitation Center, the. No name, email or phone, and nothing you could type about a resident: every answer is a number or a choice.

Your job
Employed by
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Do you get a shift differential?
Optional questions
Mandatory overtime?
How did staffing feel on your usual shift?

Every report is reviewed before it counts; what it says about the home never decides whether it counts. How pay reports are handled.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeOhioUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
6.05.313.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.20.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.70.51.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
1.33.23.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.81.21.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
5.56.114.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
8.13.44.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
4.68.815.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
29.624.923.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
16.412.912.0

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Avenue Care and Rehabilitation Center, the's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (59.4% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

59.4% this home

No different from the national rate

US median of homes 51.5% · Ohio: 147 better, 20 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 54 eligible stays.

Potentially preventable readmissions

11.0% this home

No different from the national rate

US median of homes 10.7% · Ohio: 3 better, 7 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 66 eligible stays.

Infections that led to a hospital stay

7.1% this home

No different from the national rate

US median of homes 7.1% · Ohio: 1 better, 4 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 44 eligible stays.

Self-care and mobility at discharge

72.0% this home

Median of homes: Ohio55.6% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 25 residents counted.

Falls with major injury

0.0% this home

Median of homes: Ohio0.0% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 45 residents counted.

New or worsened pressure ulcers

6.5% this home

Median of homes: Ohio1.4% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 45 residents counted.

Medication list given at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: Ohio100.0% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 15 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: PROGRESSIVE INTERCHANGE HEALTHCARE LLC. CMS links this home to Progressive Quality Care, a group of 11 nursing homes averaging 2.7 stars overall.

NameRoleTypeShareSince
Progressive Interchange LLC5% or greater direct ownership interestOrganization100%01/31/2009
Flank Real Estate, LLC5% or greater indirect ownership interestOrganization29%01/31/2009
Mike Flank Trust5% or greater indirect ownership interestOrganization21%09/09/2022
Greenburg, Steve5% or greater indirect ownership interestIndividual27%01/31/2009
Shiller, DanielCorporate officerIndividual01/31/2009
Progressive Quality Care IncOperational/managerial controlOrganization01/31/2009
Agarwal, RajeshOperational/managerial controlIndividual10/01/2011
Flank, EitanOperational/managerial controlIndividual01/31/2009
Lesher, ElizabethOperational/managerial controlIndividual06/21/2021
Flank Real Estate, LLCAdp of the SNFOrganization01/31/2009
Mike Flank TrustAdp of the SNFOrganization09/09/2022
Progressive Quality Care IncAdp of the SNFOrganization11/19/2024
Agarwal, RajeshAdp of the SNFIndividual11/01/2011
Flank, EitanAdp of the SNFIndividual01/31/2009
Greenburg, SteveAdp of the SNFIndividual01/31/2009
Lesher, ElizabethAdp of the SNFIndividual06/21/2021
Shiller, DanielAdp of the SNFIndividual01/31/2009

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.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 15 problems in this area, most recently on December 18, 2025: "Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services."
  2. When is the care plan meeting, and can family attend it?Inspectors cited 10 problems in this area, most recently on August 13, 2025: "Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals."
  3. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 9 problems in this area, most recently on October 29, 2025: "Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident."
  4. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 4 problems in this area, most recently on October 29, 2025: "Provide and implement an infection prevention and control program."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.26 hours per resident per day, below the Ohio average of 3.28.
  6. How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.

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Common questions

What is Avenue Care and Rehabilitation Center, the's Medicare star rating?
CMS rates Avenue Care and Rehabilitation Center, the 1 out of 5 stars overall, with 1 for health inspections, 1 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Avenue Care and Rehabilitation Center, the get at its last inspection?
26 health deficiencies at the standard inspection on August 13, 2025. The Ohio average is 10.5.
Has Avenue Care and Rehabilitation Center, the been fined?
Yes. CMS lists 2 fines totaling $34,146 in the last three years.
Does Avenue Care and Rehabilitation Center, the 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 Care and Rehabilitation Center, the?
CMS lists 17 owners and managers, and links the home to Progressive Quality Care. Legal business name: PROGRESSIVE INTERCHANGE HEALTHCARE LLC.

Sources

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