Aurora, OH

Avenue At Aurora

4-star overall rating with 3-star inspections with 5 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle

425 South Chillicothe Road, Aurora, OH

(330) 995-0094

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

98

Certified beds

Average residents

92

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Progressive Quality Care

Operator or chain grouping

Approved since

2015-08-31

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

11 facilities

Chain averages 2 overall / 2 health / 2 staffing / 5 quality stars

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.78

Registered nurse staffing · state 0.63 · national 0.68

LPN hours / resident day

0.93

Licensed practical nurse staffing · state 0.96 · national 0.87

Aide hours / resident day

1.90

Nurse aide staffing · state 2.14 · national 2.35

Total nurse hours

3.61

All reported nurse hours · state 3.72 · national 3.89

Licensed hours

1.71

RN + LPN hours · state 1.59 · national 1.54

Weekend hours

3.20

Weekend nurse staffing · state 3.29 · national 3.43

Weekend RN hours

0.56

Weekend registered nurse coverage · state 0.41 · national 0.47

Physical therapist

0.06

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.66

CMS adjusted RN staffing hours

Adjusted total hours

3.08

CMS adjusted total nurse staffing hours

Case-mix index

1.61

Higher values indicate more complex resident acuity

RN turnover

16%

Annual RN turnover · state 47% · national 45%

Total nurse turnover

41%

Annual nurse turnover · state 50% · national 46%

SNF VBP

Value-based purchasing

Program rank

7,678

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

29.05

Composite VBP score used to determine payment impact.

Payment multiplier

0.9853

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

3.18

Baseline 21.24% · Performance 19.96% · Measure score 3.18 · Achievement 3.18 · Improvement 2.55

Healthcare-associated infections

1.13

Baseline 5.84% · Performance 7.50% · Measure score 1.13 · Achievement 1.13 · Improvement 0

Total nurse turnover

5.30

Baseline 54.64% · Performance 42.00% · Measure score 5.30 · Achievement 5.30 · Improvement 3.74

Adjusted total nurse staffing

2.01

Baseline 3.38 hours · Performance 3.65 hours · Measure score 2.01 · Achievement 2.01 · Improvement 0.62

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	12.51%	10.72% 1.8 pts worse	No Different than the National Rate · Eligible stays 236 · Observed rate 15.68% · Lower 95% interval 9.69%
Discharge to community	60.24%	50.57% 9.7 pts better	Better than the National Rate · Eligible stays 247 · Observed rate 52.23% · Lower 95% interval 52.97%
Medicare spending per beneficiary	0.98	1.02 About the same
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 137 · Denominator 137
Falls with major injury	0.73%	0.77% About the same	Numerator 1 · Denominator 137
Discharge self-care score	60%	53.69% 6.3 pts better	Numerator 60 · Denominator 100
Discharge mobility score	57%	50.94% 6.1 pts better	Numerator 57 · Denominator 100
Pressure ulcers or injuries, new or worsened	2.92%	2.29% 0.6 pts worse	Numerator 4 · Denominator 137 · Adjusted rate 3.42%
Healthcare-associated infections requiring hospitalization	7.5%	7.12% 0.4 pts worse	No Different than the National Rate · Eligible stays 108 · Observed rate 9.26% · Lower 95% interval 4.48%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 157
Staff flu vaccination coverage	15.58%	42% 26.4 pts worse	Numerator 24 · Denominator 154
Discharge function score	71%	56.45% 14.5 pts better	Numerator 71 · Denominator 100
Transfer of health information to provider	100%	95.95% 4 pts better	Numerator 32 · Denominator 32
Transfer of health information to patient	100%	96.28% 3.7 pts better	Numerator 93 · Denominator 93
Resident COVID-19 vaccinations up to date	20.99%	25.2% 4.2 pts worse	Numerator 17 · Denominator 81

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	92.4% 7.6 pts better	93.4% 6.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	94.5% 5.5 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	2.7%	3.3% 0.6 pts better	3.3% 0.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 2.9% · Q3 4.8% · Q4 1.6% · 4Q avg 2.7% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	77.9%	26.1% 51.8 pts worse	11.4% 66.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 65.6% · Q2 76.7% · Q3 81.4% · Q4 89.5% · 4Q avg 77.9%
Percentage of long-stay residents who lose too much weight	4.1%	6.2% 2.1 pts better	5.4% 1.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 7.3% · Q3 5.7% · Q4 0.0% · 4Q avg 4.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	27.6%	25.4% 2.2 pts worse	19.6% 8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 25.0% · Q2 29.1% · Q3 30.2% · Q4 26.4% · 4Q avg 27.6%
Percentage of long-stay residents who received an antipsychotic medication	9.6%	11.5% 1.9 pts better	16.7% 7.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 16.0% · Q2 6.7% · Q3 6.4% · Q4 8.7% · 4Q avg 9.6% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.1% 0.1 pts better	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	4.4%	7.7% 3.3 pts better	16.3% 11.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.0% · Q2 4.6% · Q3 4.3% · Q4 3.8% · 4Q avg 4.4% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	5.9%	6.2% 0.3 pts better	14.9% 9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 7.4% · Q2 1.9% · Q3 8.0% · Q4 6.1% · 4Q avg 5.9% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	0.2% 0.2 pts better	1.0% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.0%	0.5% 0.5 pts better	1.7% 1.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	27.8%	21.7% 6.1 pts worse	19.8% 8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 33.3% · Q2 17.7% · Q3 28.5% · Q4 31.9% · 4Q avg 27.8%
Percentage of long-stay residents with pressure ulcers	5.8%	3.7% 2.1 pts worse	5.1% 0.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 6.1% · Q2 7.5% · Q3 5.3% · Q4 4.1% · 4Q avg 5.8% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	99.9%	78.1% 21.8 pts better	81.7% 18.2 pts better	Short Stay · 2024Q4-2025Q3 · Q1 99.6% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 99.9%
Percentage of short-stay residents who had an outpatient emergency department visit	11.6%	12.5% 0.9 pts better	12.0% 0.4 pts better	Short Stay · 20240701-20250630 · Adjusted 11.6% · Observed 10.9% · Expected 10.6% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.3%	1.2% 0.9 pts better	1.6% 1.3 pts better	Short Stay · 2024Q4-2025Q3 · Q1 0.8% · Q2 0.7% · Q3 0.0% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	98.8%	75.6% 23.2 pts better	79.7% 19.1 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 98.8%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	21.9%	25.1% 3.2 pts better	23.9% 2 pts better	Short Stay · 20240701-20250630 · Adjusted 21.9% · Observed 21.9% · Expected 23.9% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2023-09-21 · Fire 2023-09-21

5 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

5 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 2 Health 2021-08-12 · Fire 2021-08-12

6 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

5 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 3 Health 2019-03-14 · Fire 2019-03-14

3 health deficiencies

Top issue: Quality of Life and Care (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2023-09-21

K346 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

Corrected 2023-10-20

F · Potential for more than minimal harm 2023-09-21

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-10-20

F · Potential for more than minimal harm 2023-09-21

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2023-10-20

F · Potential for more than minimal harm 2023-09-21

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2023-10-20

E · Potential for more than minimal harm 2023-09-21

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-10-20

F · Potential for more than minimal harm 2021-08-12

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2021-10-06

F · Potential for more than minimal harm 2021-08-12

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2021-10-06

E · Potential for more than minimal harm 2021-08-12

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2021-10-06

E · Potential for more than minimal harm 2021-08-12

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2021-10-07

E · Potential for more than minimal harm 2021-08-12

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2021-10-06

Inspection history

Recent health citations

G · Actual harm 2025-12-04

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-12-18

D · Potential for more than minimal harm 2025-08-18

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-08-28

D · Potential for more than minimal harm 2025-04-17

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-04-26

F · Potential for more than minimal harm 2024-05-20

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2024-06-10

D · Potential for more than minimal harm 2024-05-20

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2024-06-10

D · Potential for more than minimal harm 2024-05-20

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-06-10

D · Potential for more than minimal harm 2024-05-20

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2024-06-10

D · Potential for more than minimal harm 2024-05-20

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2024-06-10

F · Potential for more than minimal harm 2023-09-21

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2023-10-20

D · Potential for more than minimal harm 2023-09-21

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2023-10-20

D · Potential for more than minimal harm 2023-08-24

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2023-08-25

D · Potential for more than minimal harm 2023-08-24

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2023-08-25

F · Potential for more than minimal harm 2021-08-12

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2021-10-06

D · Potential for more than minimal harm 2019-03-14

F698 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2019-04-01

Penalties and ownership

What sits behind the stars

Ownership

Flank, Eitan

5% Or Greater Direct Ownership Interest · Individual

20% 11 facilities 2022-06-10

Flank, Liat

5% Or Greater Direct Ownership Interest · Individual

20% 9 facilities 2022-06-10

Flank, Matan

5% Or Greater Direct Ownership Interest · Individual

20% 9 facilities 2022-06-10

Flank, Shaul

5% Or Greater Direct Ownership Interest · Individual

20% 10 facilities 2022-06-10

Sausen, Joel

5% Or Greater Direct Ownership Interest · Individual

20% 10 facilities 2022-06-10

Flank, Eitan