Cycle 1
Health 2022-11-23 · Fire 2022-11-23
6 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Medina, OH
Avenue At Medina
4-star overall rating with 3-star inspections with 6 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
699 East Smith Road, Medina, OH
(330) 721-7001
Overall
4 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
70
Certified beds
Average residents
65
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Progressive Quality Care
Operator or chain grouping
Approved since
2013-06-20
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
No
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.60
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
1.11
Licensed practical nurse staffing · state 0.96 · national 0.87
Aide hours / resident day
1.89
Nurse aide staffing · state 2.14 · national 2.35
Total nurse hours
3.60
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
3.15
Weekend nurse staffing · state 3.29 · national 3.43
Weekend RN hours
0.33
Weekend registered nurse coverage · state 0.41 · national 0.47
Physical therapist
0.08
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.53
CMS adjusted RN staffing hours
Adjusted total hours
3.14
CMS adjusted total nurse staffing hours
Case-mix index
1.57
Higher values indicate more complex resident acuity
RN turnover
43%
Annual RN turnover · state 47% · national 45%
Total nurse turnover
43%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Value-based purchasing
Program rank
7,618
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
29.24
Composite VBP score used to determine payment impact.
Payment multiplier
0.9854
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 19.34% · Performance 21.66% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
4.27
Baseline 4.11% · Performance 6.56% · Measure score 4.27 · Achievement 4.27 · Improvement 0
Total nurse turnover
7.42
Baseline 77.65% · Performance 35.82% · Measure score 7.42 · Achievement 6.82 · Improvement 7.42
Adjusted total nurse staffing
0
Baseline 3.49 hours · Performance 3.22 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 13.4% |
10.72%
2.7 pts worse
|
No Different than the National Rate · Eligible stays 209 · Observed rate 16.27% · Lower 95% interval 9.75% |
| Discharge to community | 51.35% |
50.57%
0.8 pts better
|
No Different than the National Rate · Eligible stays 208 · Observed rate 47.12% · Lower 95% interval 44.68% |
| Medicare spending per beneficiary | 0.97 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 99 · Denominator 99 |
| Falls with major injury | 1.01% |
0.77%
0.2 pts worse
|
Numerator 1 · Denominator 99 |
| Discharge self-care score | 56.52% |
53.69%
2.8 pts better
|
Numerator 39 · Denominator 69 |
| Discharge mobility score | 71.01% |
50.94%
20.1 pts better
|
Numerator 49 · Denominator 69 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 99 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 6.56% |
7.12%
0.6 pts better
|
No Different than the National Rate · Eligible stays 116 · Observed rate 6.03% · Lower 95% interval 4.23% |
| Staff COVID-19 vaccination coverage | 87.6% |
8.2%
79.4 pts better
|
Numerator 106 · Denominator 121 |
| Staff flu vaccination coverage | 4.62% |
42%
37.4 pts worse
|
Numerator 8 · Denominator 173 |
| Discharge function score | 75.36% |
56.45%
18.9 pts better
|
Numerator 52 · Denominator 69 |
| Transfer of health information to provider | 96.55% |
95.95%
0.6 pts better
|
Numerator 28 · Denominator 29 |
| Transfer of health information to patient | 94.64% |
96.28%
1.6 pts worse
|
Numerator 53 · Denominator 56 |
| Resident COVID-19 vaccinations up to date | 20.83% |
25.2%
4.4 pts worse
|
Numerator 10 · Denominator 48 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 92.4% |
92.4%
About the same
|
93.4%
1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 94.7% · Q2 97.6% · Q3 84.6% · Q4 92.5% · 4Q avg 92.4% |
| 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 | 1.9% |
3.3%
1.4 pts better
|
3.3%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.4% · Q3 2.6% · Q4 2.5% · 4Q avg 1.9% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 35.6% |
26.1%
9.5 pts worse
|
11.4%
24.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 15.2% · Q2 30.0% · Q3 46.9% · Q4 48.6% · 4Q avg 35.6% |
| Percentage of long-stay residents who lose too much weight | 9.6% |
6.2%
3.4 pts worse
|
5.4%
4.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.6% · Q2 17.9% · Q3 8.1% · Q4 2.9% · 4Q avg 9.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 38.5% |
25.4%
13.1 pts worse
|
19.6%
18.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 31.4% · Q2 42.5% · Q3 45.9% · Q4 33.3% · 4Q avg 38.5% |
| Percentage of long-stay residents who received an antipsychotic medication | 23.4% |
11.5%
11.9 pts worse
|
16.7%
6.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 31.0% · Q2 29.2% · Q3 14.3% · Q4 20.0% · 4Q avg 23.4% · 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 | 10.8% |
7.7%
3.1 pts worse
|
16.3%
5.5 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 10.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 8.6% |
6.2%
2.4 pts worse
|
14.9%
6.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 18.2% · Q2 10.5% · Q3 5.7% · Q4 0.0% · 4Q avg 8.6% · 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 | 0.6% |
0.5%
0.1 pts worse
|
1.7%
1.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 2.6% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 27.2% |
21.7%
5.5 pts worse
|
19.8%
7.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 14.7% · Q2 33.0% · Q3 42.3% · Q4 20.2% · 4Q avg 27.2% |
| Percentage of long-stay residents with pressure ulcers | 2.7% |
3.7%
1 pts better
|
5.1%
2.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 5.7% · Q3 2.4% · Q4 2.4% · 4Q avg 2.7% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 68.2% |
78.1%
9.9 pts worse
|
81.7%
13.5 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 83.8% · Q2 78.6% · Q3 58.8% · Q4 51.2% · 4Q avg 68.2% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 11.3% |
12.5%
1.2 pts better
|
12.0%
0.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 11.3% · Observed 10.2% · Expected 10.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.4% |
1.2%
0.8 pts better
|
1.6%
1.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.8% · Q4 0.8% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 76.3% |
75.6%
0.7 pts better
|
79.7%
3.4 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 76.3% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 24.0% |
25.1%
1.1 pts better
|
23.9%
0.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 24.0% · Observed 21.6% · Expected 21.5% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2019-12-28 · Fire 2019-12-28
7 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Cycle 3
Health 2018-10-11 · Fire 2018-10-11
11 health deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
10 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2022-11-23
E15 · Emergency Preparedness Deficiencies
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2022-12-23
F · Potential for more than minimal harm
2022-11-23
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2022-12-23
F · Potential for more than minimal harm
2022-11-23
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-12-23
F · Potential for more than minimal harm
2019-12-28
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2020-01-28
F · Potential for more than minimal harm
2019-12-28
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2020-01-28
F · Potential for more than minimal harm
2019-12-28
K362 · Smoke Deficiencies
Fire Safety
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Corrected 2020-01-28
F · Potential for more than minimal harm
2019-12-28
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2020-01-28
C · Minimal harm
2019-12-28
E4 · Emergency Preparedness Deficiencies
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2020-01-28
F · Potential for more than minimal harm
2018-10-11
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2018-11-16
F · Potential for more than minimal harm
2018-10-11
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2018-11-16
F · Potential for more than minimal harm
2018-10-11
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2018-11-16
F · Potential for more than minimal harm
2018-10-11
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2018-11-16
E · Potential for more than minimal harm
2018-10-11
K222 · Egress Deficiencies
Fire Safety
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.
Corrected 2018-11-16
E · Potential for more than minimal harm
2018-10-11
K347 · Smoke Deficiencies
Fire Safety
Properly provide smoke detection systems in areas open to corridors.
Corrected 2018-11-16
E · Potential for more than minimal harm
2018-10-11
K921 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2018-11-16
D · Potential for more than minimal harm
2018-10-11
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2018-11-16
D · Potential for more than minimal harm
2018-10-11
K929 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
Corrected 2018-11-16
C · Minimal harm
2018-10-11
E37 · Emergency Preparedness Deficiencies
Fire Safety
Establish staff and initial training requirements.
Corrected 2018-11-16
Inspection history
Recent health citations
D · Potential for more than minimal harm
2024-12-03
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 2024-12-20
D · Potential for more than minimal harm
2024-12-03
F697 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2024-12-20
D · Potential for more than minimal harm
2024-12-03
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-12-20
D · Potential for more than minimal harm
2024-07-25
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-08-15
D · Potential for more than minimal harm
2024-07-25
F807 · Nutrition and Dietary Deficiencies
Health
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
Corrected 2024-08-15
E · Potential for more than minimal harm
2024-01-26
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-02-15
D · Potential for more than minimal harm
2024-01-26
F565 · Resident Rights Deficiencies
Health
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected 2024-02-15
D · Potential for more than minimal harm
2024-01-26
F580 · Resident Rights Deficiencies
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-02-15
D · Potential for more than minimal harm
2024-01-26
F694 · Quality of Life and Care Deficiencies
Health
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected 2024-02-15
D · Potential for more than minimal harm
2024-01-26
F697 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2024-02-15
D · Potential for more than minimal harm
2024-01-26
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-02-15
D · Potential for more than minimal harm
2023-03-27
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-04-12
F · Potential for more than minimal harm
2022-11-23
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2022-12-23
E · Potential for more than minimal harm
2022-11-23
F761 · Pharmacy Service Deficiencies
Health
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2022-12-23
E · Potential for more than minimal harm
2022-11-23
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 2022-12-23
D · Potential for more than minimal harm
2022-11-23
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2022-12-23
D · Potential for more than minimal harm
2022-11-23
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2022-12-23
D · Potential for more than minimal harm
2022-11-23
F690 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2022-12-23
D · Potential for more than minimal harm
2019-12-28
F679 · Quality of Life and Care Deficiencies
Health
Provide activities to meet all resident's needs.
Corrected 2020-01-28
D · Potential for more than minimal harm
2019-12-28
F761 · Pharmacy Service Deficiencies
Health
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2020-01-28
E · Potential for more than minimal harm
2018-10-11
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2018-11-16
E · Potential for more than minimal harm
2018-10-11
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2018-11-16
D · Potential for more than minimal harm
2018-10-11
F623 · Resident Rights Deficiencies
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2018-11-16
D · Potential for more than minimal harm
2018-10-11
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 2018-11-16
Penalties and ownership
What sits behind the stars
Ownership
Flank, Eitan
5% Or Greater Direct Ownership Interest · Individual
Flank, Liat
5% Or Greater Direct Ownership Interest · Individual
Flank, Matan
5% Or Greater Direct Ownership Interest · Individual
Flank, Shaul
5% Or Greater Direct Ownership Interest · Individual
Sausen, Joel
5% Or Greater Direct Ownership Interest · Individual
Flank, Eitan
Corporate Officer · Individual
Flank, Liat
Corporate Officer · Individual
Flank, Matan
Corporate Officer · Individual
Flank, Shaul
Corporate Officer · Individual
Jain, Sushil
Operational/Managerial Control · Individual
Nedolast, Sidney
Operational/Managerial Control · Individual
Progressive Quality Care Inc
Operational/Managerial Control · Organization
Sausen, Joel
Corporate Officer · Individual
Shiller, Daniel
Corporate Officer · Individual
Nearby options
Other facilities in reach
#1
Samaritan Care Center And Villa
Medina, OH
3-star overall rating with 3-star inspections with 6 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle
#2
Medina Center For Rehabilitation And Nursing
Medina, OH
2-star overall rating with 1-star inspections with Special Focus status with abuse icon flag with $135,470 in total fines with 29 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle
#3
Medina Bsd Opco LLC
Medina, OH
4-star overall rating with 3-star inspections with $55,035 in total fines with 7 recent health deficiencies with 12 fire-safety deficiencies in the latest cycle
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