Federal inspection record · CMS data as of October 1, 2026
Aventura At Walton Hills
19859 Alexander Rd, Walton Hills, OH · (440) 439-4433
- Certified beds
- 99
- Residents per day
- 79
- Ownership
- For-Profit
- Chain
- Aventura Health Group
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- October 15, 1987
1
How this home got 3 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Ohio.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Ohio homes
Aventura At Walton Hills carries 86 inspection points. That is fewer than 33% of Ohio's 913 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Ohio: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–15 pts
- 4★ 15–42 pts
- 3★ 42–69 pts
- 2★ 69–121.25 pts
- 1★ over 121.25 pts
Bars show every rated home in Ohio by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
41 health citations on record since 2019. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (2)
-
G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Resident Rights10F
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- E
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- D
Reasonably accommodate the needs and preferences of each resident.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
- D
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
- F
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
- D
Reasonably accommodate the needs and preferences of each resident.
- D
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- D
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Quality of Life and Care10D
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- 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.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide activities to meet all resident's needs.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- 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.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Nutrition and Dietary7F
- F
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- D
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Infection Control4E
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Resident Assessment and Care Planning3D
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
PASARR screening for Mental disorders or Intellectual Disabilities
Freedom from Abuse, Neglect, and Exploitation3D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Protect each resident from the wrongful use of the resident's belongings or money.
- D
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Pharmacy Service1D
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Administration1F
- F
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Inspection history
2025-12-01
8 health deficiencies · 13 fire-safety deficiencies
Top issue: Resident Rights (3 deficiencies)
2022-11-28
25 health deficiencies · 9 fire-safety deficiencies
Top issue: Quality of Life and Care (9 deficiencies)
2019-12-18
8 health deficiencies · 11 fire-safety deficiencies
Top issue: Nutrition and Dietary (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 23 min of nursing staff time a day, 28 min of it from a registered nurse.
This home
3 h 23 min
Ohio average
3 h 43 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 52% of nursing staff and 70% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$0 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-02-11 | Payment Denial · 4 day denial | $0 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine14.3 pts worse | 78.4% | 92.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine7.4 pts worse | 86.3% | 93.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.7 pts better | 1.4% | 3.1% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms30 pts better | 1.6% | 31.6% | 13.5% |
| Percentage of long-stay residents who lose too much weight6.3 pts worse | 12.4% | 6.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication10 pts better | 15.5% | 25.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication9.4 pts worse | 17.9% | 8.5% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened1.6 pts better | 3.7% | 5.3% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increasedAbout the same | 5.0% | 5.0% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts worse | 0.5% | 0.2% | 0.7% |
| Percentage of long-stay residents with a urinary tract infectionAbout the same | 0.4% | 0.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence2 pts worse | 22.9% | 20.9% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.5 pts worse | 5.7% | 3.2% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine20.6 pts worse | 57.8% | 78.4% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication2.2 pts worse | 3.4% | 1.2% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine45.4 pts worse | 31.0% | 76.4% | 80.1% |
·
Who owns and runs it
5 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Aventura At Walton Hills LLC | 5% Or Greater Direct Ownership Interest · Organization | 50% | 1 facilities |
| Eom Health Care Holdings LLC | 5% Or Greater Direct Ownership Interest · Organization | 50% | 6 facilities |
| Kaszirer, Moishe | Corporate Officer · Individual | 0% | 11 facilities |
| Kaszirer, Moishe | Operational/Managerial Control · Individual | 0% | 11 facilities |
| Scharf, Mordechai | Corporate Officer · Individual | 0% | 7 facilities |
·
Fire safety
33 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke12F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- E
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Inspect, test, and maintain automatic sprinkler systems.
- E
Properly select, install, inspect, or maintain portable fire extinguishes.
- E
Install corridor and hallway doors that block smoke.
Miscellaneous7F
- F
Have simulated fire drills held at unexpected times.
- F
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F
Have simulated fire drills held at unexpected times.
- E
Have restrictions on the use of portable space heaters.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- C
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems7F
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Have proper medical gas storage and administration areas.
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- E
Have proper medical gas storage and administration areas.
- D
Ensure proper usage of power strips and extension cords.
Services3F
- F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- E
Have properly installed electrical wiring and gas equipment.
Egress2E
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Emergency Preparedness1F
- F
Conduct testing and exercise requirements.
Construction1E
- E
Use approved construction type or materials.
·
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Grande Oaks
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Northfield Village Retirement Community
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