Avon Oaks Nursing Home
37800 French Creek Rd, Avon, OH 44011 · Lorain County · (440) 934-5204
99 certified beds, about 91 residents a day · For profit - Corporation · Medicare and Medicaid since 1989
CMS high performing icon Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 365762 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on March 19, 2026, inspectors cited 5 health deficiencies (the Ohio average is 10.5, the national average 9.2).
None of its 15 health citations since July 2022 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 4.53 hours per resident per day, against 3.69 across Ohio and 3.86 nationally. Registered nurses accounted for 0.77 of those hours.
46.6% of nursing staff left within the year CMS measured (Ohio average 48.7%).
CMS links it to Colev Gestetner, an affiliated group of 7 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.
007/22
1001/25
503/26
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 15 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
12D
2E
1F
Potential for minimal harm
0A
0B
0C
March 19, 2026Standard inspection · 5 citations · risk-based survey (a shorter visit CMS gives only to higher performing homes)
- E Reasonably accommodate the needs and preferences of each resident.
Inspectors wroteBased on observations, resident record review, resident interviews, staff interviews, and facility policy review, the facility failed to ensure call lights were within reach. This affected four residents (#6, #13, #73, and #95) of four residents reviewed for call lights. The facility census was 92.
- D Give the resident's representative the ability to exercise the resident's rights.
Inspectors wroteBased on observations, resident record review, resident interviews, staff interviews, and facility document review, the facility failed to honor Resident #51's preferences. This affected one resident (#51) of one reviewed for preferences. The facility census was 92.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observations, resident record review, resident and staff interviews, the facility failed to ensure Resident #95, who was dependent on staff for care, was assisted with activities of daily living (ADL). This affected one resident (#95) of one reviewed for ADL. The facility census was 92.
- D Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on resident record review, resident and staff interviews, and facility policy review, the facility failed to ensure weight loss prevention interventions were completed as ordered. This affected two residents (#11 and #65) of two residents reviewed for nutrition. The facility census was 92.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observations, resident record review, resident and staff interviews, and facility policy review, the facility failed to ensure respiratory care was implemented as ordered for Resident #65. This affected one resident (#65) of one reviewed for respiratory care. The facility census was 92.
January 16, 2025Standard inspection · 10 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, staff interview, and review of policy, the facility failed to ensure food items were labeled and dated and further failed to ensure refrigerators did not contain expired items. This had the potential to affect all 87 residents who received food from the kitchen. The facility identified one Resident (#32) as receiving nothing by mouth (NPO). The facility census was 88.
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, staff interview, review of facility Transmission Based Precautions (TBP) postings, review of the Centers for Disease Control and Prevention (CDC) guidelines, and review of facility policies and documents, the facility failed to ensure proper infection control practices were implemented related to residents on TBP. This affected seven residents (#10, #46, #58, #63, #98, and #349), and had the potential to affect 55 ( Resident #2, #3, #4, #6, #7, #11, #12, #14, #15, #16, #17, #19, #22, #23, #24, #25, #28, #30, #31, #32, #34, #35, #36, #38, #39, #40, #42, #43, #48, #52, #54, #59, #60, #64, #67, #68, #70, #71, #72, #74, #76, #77, #79, #83, #86, #87, #97, #99, #100, #101, #198, #347, #348, #350, and #351) additional residents residing on the 100-hall, 300-hall, and 400-hall. The facility census was 88.
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on review of the medical record, resident representative interview, staff interview, and policy review, the facility failed to ensure a resident's representative was provided notification of the resident's change in condition. This affected one (#23) of one resident reviewed for notification of change in condition. The facility census was 88.
- D Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Inspectors wroteBased on record review and staff interview, the facility failed to ensure Notice of Medicare Non Coverage (NOMNC) notification was provided in writing to the resident or family member prior to services ending. This affected two (#198 and #199) of three reviewed for notices. The facility census was 88.
- D Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Inspectors wroteBased on observation, staff interview, family interview, resident interview, and medical record review, the facility failed to ensure alternative methods of communication were provided to facilitate adequate communication for a resident who spoke limited English. This affected one (#349) of one resident reviewed for alternate methods of communication. The facility census was 88.
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on review of the medical record, observation, staff interviews, and policy review, the facility failed to a pressure ulcer was assessed according to policy, physician ordered dressing was applied, and interventions were implemented to promote wound healing. This affected one (#30) of one resident reviewed for pressure ulcers. The facility identified five residents with pressure ulcers. The facility census was 88.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, staff interviews, and record review, the facility failed to ensure fall interventions were implemented to prevent resident at risk from falls. This affected two (#28 and #38) of two residents reviewed for falls. The facility census was 88.
- D Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on review of the medical record, observation, staff interview, resident interview, and policy review, the facility failed to ensure recommended nutritional interventions were implemented for significant weight loss. This affected one (#30) of seven residents reviewed for nutrition. The facility census was 88.
- D Provide safe, appropriate dialysis care/services for a resident who requires such services.
Inspectors wroteBased on medical record review, policy review, and staff interview, the facility failed to ensure residents on dialysis were assessed and monitored routinely and according to policy. This affected one (#10) of one resident reviewed for dialysis. The facility census was 88.
- D Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Inspectors wroteBased on observation, staff interview, record review, and review of policy, the facility failed to ensure a resident on was provided the appropriate meal consistency per physician orders. This affected one (#3) of 10 residents reviewed for food and nutrition. The facility census was 88.
July 28, 2022Standard inspection · 0 citations
Fire safety inspections
17 fire safety citations on file: 3 on March 19, 2026, 11 on January 16, 2025, 3 on July 28, 2022.
Every fire safety citation17 citations
- F Have simulated fire drills held at unexpected times.
- F Ensure proper usage of power strips and extension cords.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F Address subsistence needs for staff and patients.
- F Create arrangements with other facilities to receive patients.
- F Meet requirements for sections of health care facilities separated by fire resistive construction.
- F Have corridors or aisles that are unobstructed and are at least 8 feet in width.
- F Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- F Have simulated fire drills held at unexpected times.
- F Meet requirements for the use of electrical equipment.
- F Ensure proper usage of power strips and extension cords.
- E Use approved construction type or materials.
- 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.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Inspect, test, and maintain automatic sprinkler systems.
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) | 4.53 | 3.69 | 3.86 |
| Registered nurses | 0.77 | 0.64 | 0.69 |
| All nursing staff on weekends | 4.17 | 3.28 | 3.42 |
| Nurse aides | 2.82 | ||
| Licensed practical nurses | 0.94 | ||
| Nursing staff turnover (share who left in a year) | 46.6% | 48.7% | 45.8% |
| Registered nurse turnover | 38.1% | 43.9% | 42.9% |
| Administrators who left | 1 |
CMS expects 4.33 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 4.68 on weekdays and 4.17 on weekends, 11% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 6.5% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.41 in April to June 2025 to 4.53 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 | 4.53 | 0.77 | 4.68 | 4.17 | 6.5% | 0 of 90 | 91 |
| Oct to Dec 2025 | 4.44 | 0.79 | 4.54 | 4.19 | 3.7% | 0 of 92 | 93 |
| Jul to Sep 2025 | 4.51 | 0.83 | 4.63 | 4.18 | 3.6% | 0 of 92 | 91 |
| Apr to Jun 2025 | 4.41 | 0.88 | 4.53 | 4.09 | 5.6% | 0 of 91 | 93 |
| 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 | 1.4 | 5.3 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.8 | 0.2 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.0 | 3.2 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.5 | 1.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 4.3 | 6.1 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.2 | 3.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 6.0 | 8.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 12.9 | 24.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 8.8 | 12.9 | 12.0 |
Owners and operators
Legal business name: R & J INVESTMENT CO INC. CMS links this home to Colev Gestetner, a group of 7 nursing homes averaging 4.6 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Basch, Joel | 5% or greater direct ownership interest | Individual | 8% | 06/30/2023 |
| Basch, Joshua | 5% or greater direct ownership interest | Individual | 8% | 06/30/2023 |
| Basch, Moshe | 5% or greater direct ownership interest | Individual | 8% | 06/30/2023 |
| Basch, Yitzi | 5% or greater direct ownership interest | Individual | 8% | 06/30/2023 |
| Gestetner, Colev | 5% or greater direct ownership interest | Individual | 13% | 06/30/2023 |
| Moskowitz, Yisroel | 5% or greater direct ownership interest | Individual | 13% | 06/30/2023 |
| Schuck, Yosef | 5% or greater direct ownership interest | Individual | 7% | 06/30/2023 |
| Werzberger, Joel | 5% or greater direct ownership interest | Individual | 33% | 06/30/2023 |
| Costello, Colleen | W-2 managing employee | Individual | 04/01/1994 | |
| Eren, Itri | W-2 managing employee | Individual | 05/01/2023 | |
| Werzberger, Joel | Corporate director | Individual | 06/30/2023 | |
| Gestetner, Colev | Corporate officer | Individual | 06/30/2023 | |
| Werzberger, Joel | Corporate officer | Individual | 06/30/2023 | |
| Eren, Itri | Adp of the SNF | Individual | 10/24/2024 |
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 8 problems in this area, most recently on March 19, 2026: "Provide care and assistance to perform activities of daily living for any resident who is unable."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 4 problems in this area, most recently on March 19, 2026: "Reasonably accommodate the needs and preferences of each resident."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on January 16, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on January 16, 2025: "Provide and implement an infection prevention and control program."
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- Woods on French Creek Nursing & Rehab Center the Avon, 0.6 mi · 5 of 5 stars · 19 citations
- St. Mary of the Woods Avon, 1.6 mi · 5 of 5 stars · 11 citations
- Main Street Care Center Avon Lake, 3.3 mi · 3 of 5 stars · 28 citations
- Avon Place Healthcare Center Avon, 3.3 mi · 2 of 5 stars · 33 citations
- Northridge Rehabilitation and Care Center North Ridgeville, 4.2 mi · 2 of 5 stars · 40 citations
- Avenue at North Ridgeville North Ridgeville, 4.4 mi · 2 of 5 stars · 41 citations
- O'Neill Healthcare North Ridgeville North Ridgeville, 4.7 mi · 5 of 5 stars · 10 citations
- O'Neill Healthcare Bay Village Bay Village, 4.8 mi · 2 of 5 stars · 28 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 Avon Oaks Nursing Home's Medicare star rating?
- CMS rates Avon Oaks Nursing Home 5 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Avon Oaks Nursing Home get at its last inspection?
- 5 health deficiencies at the standard inspection on March 19, 2026. The Ohio average is 10.5.
- Has Avon Oaks Nursing Home been fined?
- CMS lists no fines in the last three years.
- Does Avon Oaks Nursing Home 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 Avon Oaks Nursing Home?
- CMS lists 14 owners and managers, and links the home to Colev Gestetner. Legal business name: R & J INVESTMENT CO INC.
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.