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Home / Ohio / Avon

St. Mary of the Woods

35755 Detroit Road, Avon, OH 44011 · Lorain County · (440) 937-6869

50 certified beds, about 44 residents a day · Non profit - Corporation · Medicare since 2007

CMS high performing icon Certified for Medicare
Overall
5 of 5
Health inspections
5 of 5
Staffing
4 of 5
Quality measures
4 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 366342 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on August 28, 2025, inspectors cited 2 health deficiencies (the Ohio average is 10.5, the national average 9.2).

None of its 11 health citations since May 2019 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 4.59 hours per resident per day, against 3.69 across Ohio and 3.86 nationally. Registered nurses accounted for 1.37 of those hours.

58.5% of nursing staff left within the year CMS measured (Ohio average 48.7%).

CMS links it to Saint Therese Senior Communities, an affiliated group of 4 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 11 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
10D
1E
0F
Potential for minimal harm
0A
0B
0C
June 1, 2026Complaint inspection · 1 citation
  1. 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 · found on a complaint visit · Corrected (the home has a date of correction) June 10, 2026
    Inspectors wroteBased on record review, observation, facility policy review, and interview, the facility failed to ensure staff followed physician orders when administering Resident #26's and Resident #44's respiratory aerosol treatments. This affected two residents (#26 and #44) out of three residents reviewed for respiratory care. The facility census was 43.
August 28, 2025Standard inspection, Complaint inspection · 3 citations
  1. 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 · Corrected (the home has a date of correction) October 14, 2025
    Inspectors wroteBased on observation, policy review, and interview, the facility failed to ensure the kitchen was maintained in a clean and sanitary manner. This had the potential to affect 32 out of 36 residents who ate meals in the facility's kitchen. Four residents (Residents #1, #4, #10 and #24) received enteral nutrition and did not receive meals from the kitchen. The facility census was 36. Observations during the initial tour of the kitchen on 08/25/25 from 10:27 A.M. through 10:50 A.M. revealed the wall behind the grill and stove had grease built-up with food spattered, the deep [NAME] shield on the side of the deep [NAME] had half inch thick grease built up. The hood screens above the grill and stove had heavy grease buildup and the stove had burnt food and flood splatter all over it. [...]
  2. D
    Keep residents' personal and medical records private and confidential.
    F583 · 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) October 14, 2025
    Inspectors wroteBased on medical record review, interviews, and review of facility policy, the facility failed to ensure the resident personal privacy and confidentiality of medical records was maintained. This affected one resident (#63) of two residents reviewed for medical record release. The facility census was 36.
  3. 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 · found on a complaint visit · Corrected (the home has a date of correction) October 14, 2025
    Inspectors wroteBased on record review, staff interviews, and facility policy, the facility failed to provide necessary respiratory care and services in accordance with professional standards of practice and facility policy. This affected one resident (#58) of three residents reviewed for oxygen administration. The facility census was 36. Review of medical record for Resident #58 revealed an admission date of 04/01/25 with diagnoses of acute respiratory failure with hypoxia, Parkinson's disease, heart failure with ejection fraction of 42%, dysphagia, history of falls, hypertension, myocardial infarction, and cognitive deficits. Review of the Minimum Data Set (MDS) assessment for Resident #58 dated 04/04/25 revealed the resident had cognitive decline as evidenced by a Brief Interview for Mental Status (BIMS) score of 11. [...]
June 23, 2022Standard inspection · 2 citations
  1. 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 · Corrected (the home has a date of correction) July 15, 2022
    Inspectors wroteBased on observation, interview, record review, and review of the facility policy, the facility failed to ensure an indwelling urinary catheter was stabilized and maintained in a manner to prevent urinary tract infection (UTI). This affected one resident (#17) out of three residents reviewed for an indwelling urinary catheter. The facility census was 45.
  2. 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) July 15, 2022
    Inspectors wroteBased on observation, interview,record review, and review of facilities policy, the facility failed to notify and obtain physician orders for the use of oxygen for one resident (Resident #14) of three residents reviewed. The facility census was 45.
May 30, 2019Standard inspection · 5 citations
  1. 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 · Corrected (the home has a date of correction) June 27, 2019
    Inspectors wroteBased on record review, observation, and staff interview, the facility failed to maintain a drainage bag for an indwelling urinary catheter in a manner to ensure the dignity of one (#285) out of three residents reviewed for personal privacy. The census was 48.
  2. 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 27, 2019
    Inspectors wroteBased on record review and staff interview, the facility failed to develop an initial baseline plan of care for one (#288) of 12 residents reviewed for initial baseline plans of care. The facility census was 48.
  3. 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 27, 2019
    Inspectors wroteBased on observation, resident interview, family interview, staff interview and record review, the facility failed to provide assistance with activities of daily living of bathing, hygiene, and opening food packets for one (#291) of 12 residents reviewed for showers. The facility identified 48 residents who required staff assistance or were dependent for bathing and 26 residents who required assistance or were dependent for eating. The facility census was 48.
  4. D
    Provide safe, appropriate pain management for a resident who requires such services.
    F697 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 27, 2019
    Inspectors wroteBased on record review, staff interview, resident interview, and review of facility policy, the facility failed to ensure pain medication were available and administered timely for one (#187) of two residents reviewed for pain. The facility identified 27 residents who required pain management. The facility census was 48 residents.
  5. 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) June 27, 2019
    Inspectors wroteBased on record review, observation, staff interview, visitor interview, and review of facility policy, the facility failed to ensure information signage was properly posted on the door of a room with contact isolation and failed to ensure visitors were educated on the need for precautions when visiting one (#285) three residents on contact isolation precautions. The facility census was 48.

Fire safety inspections

11 fire safety citations on file: 4 on August 28, 2025, 5 on June 23, 2022, 2 on May 30, 2019.

Every fire safety citation11 citations
  1. F
    Develop and maintain an Emergency Preparedness Program (EP).
    E 4 · August 28, 2025 · Corrected (the home has a date of correction)
  2. F
    Conduct testing and exercise requirements.
    E 39 · August 28, 2025 · Corrected (the home has a date of correction)
  3. F
    Meet requirements for sections of health care facilities separated by fire resistive construction.
    K 131 · August 28, 2025 · Corrected (the home has a date of correction)
  4. 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 28, 2025 · Corrected (the home has a date of correction)
  5. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · June 23, 2022 · Corrected (the home has a date of correction)
  6. F
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · June 23, 2022 · Corrected (the home has a date of correction)
  7. F
    Have properly installed electrical wiring and gas equipment.
    K 511 · June 23, 2022 · Corrected (the home has a date of correction)
  8. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · June 23, 2022 · Corrected (the home has a date of correction)
  9. E
    Ensure proper usage of power strips and extension cords.
    K 920 · June 23, 2022 · Corrected (the home has a date of correction)
  10. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · May 30, 2019 · Corrected (the home has a date of correction)
  11. C
    Conduct testing and exercise requirements.
    E 39 · May 30, 2019 · deficient, provider has

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.

MeasureThis homeOhioUnited States
All nursing staff (RN, LPN and aides)4.593.693.86
Registered nurses1.370.640.69
All nursing staff on weekends4.003.283.42
Nurse aides1.95
Licensed practical nurses1.27
Nursing staff turnover (share who left in a year)58.5%48.7%45.8%
Registered nurse turnover55.6%43.9%42.9%
Administrators who leftnot reported

CMS expects 3.94 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 4.82 on weekdays and 4.00 on weekends, 17% 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 4.76 in April to June 2025 to 4.59 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20264.591.374.824.00 0.0%0 of 9044
Oct to Dec 20255.101.495.364.41 0.0%1 of 9239
Jul to Sep 20254.941.285.224.23 0.0%0 of 9242
Apr to Jun 20254.761.214.914.35 0.0%0 of 9144
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.

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
4.25.313.9
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
3.00.51.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
0.03.23.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
1.41.21.6
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
5.73.44.6
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
32.724.923.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
10.412.912.0

Owners and operators

Legal business name: SAINT THERESE OF AVON LLC. CMS links this home to Saint Therese Senior Communities, a group of 4 nursing homes averaging 4.2 stars overall.

NameRoleTypeShareSince
Saint Therese Communities5% or greater direct ownership interestOrganization100%12/01/2024
Saint ThereseIndirect ownership interestOrganization12/01/2024
Abbott, CraigCorporate directorIndividual12/01/2024
Gillespie, JosephCorporate directorIndividual12/01/2024
Herb, MaryCorporate directorIndividual12/01/2024
Hoffmann, DavidCorporate directorIndividual12/01/2024
Horstmann, StevenCorporate directorIndividual12/01/2024
Krenn, DavidCorporate directorIndividual12/01/2024
McCluskey, PatriciaCorporate directorIndividual12/01/2024
McCrossan, JaneCorporate directorIndividual12/01/2024
Meads, StevenCorporate directorIndividual12/01/2024
Parmar, MonaCorporate directorIndividual12/01/2024
Taffe, PatrickCorporate directorIndividual12/01/2024
Wornson, KathrynCorporate directorIndividual12/01/2024
Abbott, CraigCorporate officerIndividual12/01/2024
Hoffmann, DavidCorporate officerIndividual12/01/2024
Shelangoski, CalCorporate officerIndividual12/01/2024
Wornson, KathrynCorporate officerIndividual12/01/2024
Saint ThereseOperational/managerial controlOrganization12/01/2024
Saint Therese CommunitiesOperational/managerial controlOrganization12/01/2024
Saint Therese Management Services, LLCOperational/managerial controlOrganization12/30/2024
Eren, ItriOperational/managerial controlIndividual12/01/2024
Heller, DavidOperational/managerial controlIndividual12/01/2024
Saint Therese Management Services, LLCAdp of the SNFOrganization12/30/2024
Eren, ItriAdp of the SNFIndividual12/01/2024
Heller, DavidAdp of the SNFIndividual12/01/2024
Shelangoski, CalAdp of the SNFIndividual12/30/2024

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.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 6 problems in this area, most recently on June 1, 2026: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
  2. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on August 28, 2025: "Keep residents' personal and medical records private and confidential."
  3. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on August 28, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
  4. When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on May 30, 2019: "Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted"

Other nursing homes nearby

Ohio contacts for a concern about a nursing home

These are the official offices in Ohio. NursingHomeClear cannot take or act on complaints.

Common questions

What is St. Mary of the Woods's Medicare star rating?
CMS rates St. Mary of the Woods 5 out of 5 stars overall, with 5 for health inspections, 4 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did St. Mary of the Woods get at its last inspection?
2 health deficiencies at the standard inspection on August 28, 2025. The Ohio average is 10.5.
Has St. Mary of the Woods been fined?
CMS lists no fines in the last three years.
Does St. Mary of the Woods accept Medicaid?
CMS lists it as "Medicare", so it is not certified for Medicaid.
Who owns St. Mary of the Woods?
CMS lists 27 owners and managers, and links the home to Saint Therese Senior Communities. Legal business name: SAINT THERESE OF AVON LLC.

Sources

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