North Ridgeville, OH

Avenue At North Ridgeville

2-star overall rating with 2-star inspections with $68,390 in total fines with 17 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle

6200 Lear Nagle Road, North Ridgeville, OH

(440) 412-7100

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

103

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Progressive Quality Care

Operator or chain grouping

Approved since

2020-06-17

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

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

0.63

Registered nurse staffing · state 0.63 · national 0.68

LPN hours / resident day

1.17

Licensed practical nurse staffing · state 0.96 · national 0.87

Aide hours / resident day

1.91

Nurse aide staffing · state 2.14 · national 2.35

Total nurse hours

3.71

All reported nurse hours · state 3.72 · national 3.89

Licensed hours

1.80

RN + LPN hours · state 1.59 · national 1.54

Weekend hours

3.46

Weekend nurse staffing · state 3.29 · national 3.43

Weekend RN hours

0.51

Weekend registered nurse coverage · state 0.41 · national 0.47

Physical therapist

0.05

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.57

CMS adjusted RN staffing hours

Adjusted total hours

3.34

CMS adjusted total nurse staffing hours

Case-mix index

1.52

Higher values indicate more complex resident acuity

RN turnover

38%

Annual RN turnover · state 47% · national 45%

Total nurse turnover

49%

Annual nurse turnover · state 50% · national 46%

SNF VBP

Value-based purchasing

Program rank

9,146

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

Performance score

24.65

Composite VBP score used to determine payment impact.

Payment multiplier

0.9835

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Baseline 20.64% · Performance 22.36% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

4.97

Baseline 7.75% · Performance 6.35% · Measure score 4.97 · Achievement 4.97 · Improvement 4.59

Total nurse turnover

3.06

Baseline 70.00% · Performance 53.91% · Measure score 3.06 · Achievement 2.39 · Improvement 3.06

Adjusted total nurse staffing

1.82

Baseline 4.14 hours · Performance 3.60 hours · Measure score 1.82 · Achievement 1.82 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	9.64%	10.72% 1.1 pts better	No Different than the National Rate · Eligible stays 94 · Observed rate 6.38% · Lower 95% interval 5.81%
Discharge to community	58.29%	50.57% 7.7 pts better	No Different than the National Rate · Eligible stays 92 · Observed rate 53.26% · Lower 95% interval 47.86%
Medicare spending per beneficiary	1.25	1.02 0.2 pts worse
Drug regimen review with follow-up	85.51%	95.27% 9.8 pts worse	Numerator 59 · Denominator 69
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 69
Discharge self-care score	59.09%	53.69% 5.4 pts better	Numerator 26 · Denominator 44
Discharge mobility score	52.27%	50.94% 1.3 pts better	Numerator 23 · Denominator 44
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 69 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	6.35%	7.12% 0.8 pts better	No Different than the National Rate · Eligible stays 83 · Observed rate 4.82% · Lower 95% interval 3.72%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 122
Staff flu vaccination coverage	0%	42% 42 pts worse	Numerator 0 · Denominator 270
Discharge function score	61.36%	56.45% 4.9 pts better	Numerator 27 · Denominator 44
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly.
Transfer of health information to patient	97.5%	96.28% 1.2 pts better	Numerator 39 · Denominator 40
Resident COVID-19 vaccinations up to date	43.33%	25.2% 18.1 pts better	Numerator 13 · Denominator 30

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.0	1.8 0.2 pts worse	1.9 0.1 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 2.2 · Expected 2.1 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.2	1.8 0.4 pts worse	1.8 0.4 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.2 · Observed 2.2 · Expected 1.7 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	99.7%	92.4% 7.3 pts better	93.4% 6.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 98.8% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 99.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	97.8%	94.5% 3.3 pts better	95.5% 2.3 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 97.8%
Percentage of long-stay residents experiencing one or more falls with major injury	5.7%	3.3% 2.4 pts worse	3.3% 2.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 6.1% · Q2 6.8% · Q3 4.4% · Q4 5.4% · 4Q avg 5.7% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	40.7%	26.1% 14.6 pts worse	11.4% 29.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 5.5% · Q2 15.8% · Q3 48.1% · Q4 86.9% · 4Q avg 40.7%
Percentage of long-stay residents who lose too much weight	6.2%	6.2% About the same	5.4% 0.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 5.4% · Q3 9.2% · Q4 5.6% · 4Q avg 6.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	30.7%	25.4% 5.3 pts worse	19.6% 11.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 31.9% · Q2 32.9% · Q3 31.6% · Q4 26.0% · 4Q avg 30.7%
Percentage of long-stay residents who received an antipsychotic medication	13.2%	11.5% 1.7 pts worse	16.7% 3.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 10.3% · Q2 10.0% · Q3 13.8% · Q4 18.3% · 4Q avg 13.2% · 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	5.4%	7.7% 2.3 pts better	16.3% 10.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.6% · Q3 5.8% · Q4 11.7% · 4Q avg 5.4% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	6.1%	6.2% 0.1 pts better	14.9% 8.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.8% · Q2 2.6% · Q3 6.5% · Q4 9.7% · 4Q avg 6.1% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.3%	0.2% 0.1 pts worse	1.0% 0.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.1% · Q3 0.0% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.3%	0.5% 0.2 pts better	1.7% 1.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.1% · 4Q avg 0.3% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	26.0%	21.7% 4.3 pts worse	19.8% 6.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 28.4% · Q2 31.1% · Q3 21.5% · Q4 23.5% · 4Q avg 26.0%
Percentage of long-stay residents with pressure ulcers	3.2%	3.7% 0.5 pts better	5.1% 1.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.1% · Q2 5.6% · Q3 2.3% · Q4 1.1% · 4Q avg 3.2% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	96.2%	78.1% 18.1 pts better	81.7% 14.5 pts better	Short Stay · 2024Q4-2025Q3 · Q1 94.4% · Q2 93.1% · Q3 100.0% · Q4 100.0% · 4Q avg 96.2%
Percentage of short-stay residents who had an outpatient emergency department visit	19.5%	12.5% 7 pts worse	12.0% 7.5 pts worse	Short Stay · 20240701-20250630 · Adjusted 19.5% · Observed 20.6% · Expected 11.8% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.0%	1.2% 1.2 pts better	1.6% 1.6 pts better	Short 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 short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	84.7%	75.6% 9.1 pts better	79.7% 5 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 84.7%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	24.8%	25.1% 0.3 pts better	23.9% 0.9 pts worse	Short Stay · 20240701-20250630 · Adjusted 24.8% · Observed 25.4% · Expected 24.5% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2023-02-22 · Fire 2023-02-22

17 health deficiencies

Top issue: Quality of Life and Care (5 deficiencies)

5 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 2 Health 2020-06-17 · Fire 2020-06-17

9 health deficiencies

Top issue: Resident Assessment and Care Planning (4 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health · Fire

7 health deficiencies

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

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 2023-02-22

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2023-03-24

F · Potential for more than minimal harm 2023-02-22

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2023-03-24

F · Potential for more than minimal harm 2023-02-22

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-03-24

F · Potential for more than minimal harm 2023-02-22

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-03-24

E · Potential for more than minimal harm 2023-02-22

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2023-03-24

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-12-17

F584 · Resident Rights Deficiencies

Health

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.

Corrected 2026-01-12

E · Potential for more than minimal harm 2025-12-17

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2026-01-12

D · Potential for more than minimal harm 2025-12-17

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 2026-01-12

D · Potential for more than minimal harm 2025-12-17

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 2026-01-12

D · Potential for more than minimal harm 2025-12-17

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 2026-01-12

D · Potential for more than minimal harm 2025-12-17

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2026-01-12

D · Potential for more than minimal harm 2025-12-17

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2026-01-12

C · Minimal harm 2024-09-04

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2024-09-05

D · Potential for more than minimal harm 2024-05-10

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-05-13

D · Potential for more than minimal harm 2024-05-10

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 2024-05-13

G · Actual harm 2024-04-09

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-05-13

E · Potential for more than minimal harm 2024-04-09

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 2024-05-13

D · Potential for more than minimal harm 2024-04-09

F637 · Resident Assessment and Care Planning Deficiencies

Health

Assess the resident when there is a significant change in condition

Corrected 2024-05-13

D · Potential for more than minimal harm 2024-04-09

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2024-05-13

D · Potential for more than minimal harm 2024-04-09

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 2024-05-13

D · Potential for more than minimal harm 2024-04-09

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 2024-05-13

J · Immediate jeopardy 2024-02-15

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 2023-09-21

F · Potential for more than minimal harm 2024-02-15

F729 · Nursing and Physician Services Deficiencies

Health

Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.

Corrected 2024-02-16

D · Potential for more than minimal harm 2023-11-28

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 2023-12-11

D · Potential for more than minimal harm 2023-11-28

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2023-12-11

D · Potential for more than minimal harm 2023-10-17

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-10-20

D · Potential for more than minimal harm 2023-09-18

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2023-10-20

D · Potential for more than minimal harm 2023-09-18

F777 · Administration Deficiencies

Health

Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.

Corrected 2023-10-20

F · Potential for more than minimal harm 2023-02-22

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 2023-03-24