Federal inspection record · CMS data as of October 1, 2026
Avenue At Wooster
1700 East Smithville Western Road, Wooster, OH · (330) 601-1001
- Certified beds
- 82
- Residents per day
- 78
- Ownership
- For-Profit
- Chain
- Progressive Quality Care
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- April 6, 2018
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.
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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
Avenue At Wooster carries 98 inspection points. That is fewer than 28% 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
35 health citations on record since 2020. 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 (1)
-
G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Everything else, by area of care
Quality of Life and Care11D
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- 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
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
- 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 safe, appropriate dialysis care/services for a resident who requires such services.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Nutrition and Dietary9F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
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.
- F
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- E
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
- D
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
- 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 prepared in a form designed to meet individual needs.
Pharmacy Service4E
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
- E
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.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Freedom from Abuse, Neglect, and Exploitation4E
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
- E
Protect each resident from the wrongful use of the resident's belongings or money.
- E
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Infection Control3F
- D
Provide and implement an infection prevention and control program.
- D
Implement a program that monitors antibiotic use.
- F
Provide and implement an infection prevention and control program.
Resident Rights1E
- E
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Administration1D
- D
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Environmental1D
- D
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Inspection history
2025-03-20
16 health deficiencies · 3 fire-safety deficiencies
Top issue: Quality of Life and Care (7 deficiencies)
2022-12-27
10 health deficiencies · 1 fire-safety deficiencies
Top issue: Nutrition and Dietary (3 deficiencies)
2020-02-20
9 health deficiencies · 4 fire-safety deficiencies
Top issue: Nutrition and Dietary (4 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 12 min of nursing staff time a day, 21 min of it from a registered nurse.
This home
3 h 12 min
Ohio average
3 h 43 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 40% of nursing staff and 30% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
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 vaccine7.3 pts better | 100.0% | 92.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine6.3 pts better | 100.0% | 93.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.6 pts worse | 3.7% | 3.1% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms10.2 pts worse | 41.8% | 31.6% | 13.5% |
| Percentage of long-stay residents who lose too much weight4 pts better | 2.1% | 6.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication5 pts worse | 30.5% | 25.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication4.1 pts better | 4.4% | 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 worsened1.2 pts worse | 6.5% | 5.3% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased2.8 pts better | 2.2% | 5.0% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.2 pts better | 0.0% | 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 incontinence8.5 pts worse | 29.4% | 20.9% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.6 pts better | 1.6% | 3.2% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine21.6 pts better | 100.0% | 78.4% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit9.2 pts worse | 21.8% | 12.6% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.2 pts worse | 1.4% | 1.2% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine19.4 pts better | 95.8% | 76.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission1.7 pts better | 22.7% | 24.4% | 23.4% |
·
Who owns and runs it
23 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 |
|---|---|---|---|
| Flank, Eitan | 5% Or Greater Direct Ownership Interest · Individual | 20% | 11 facilities |
| Flank, Liat | 5% Or Greater Direct Ownership Interest · Individual | 20% | 9 facilities |
| Flank, Matan | 5% Or Greater Direct Ownership Interest · Individual | 20% | 9 facilities |
| Flank, Shaul | 5% Or Greater Direct Ownership Interest · Individual | 20% | 10 facilities |
| Sausen, Joel | 5% Or Greater Direct Ownership Interest · Individual | 20% | 10 facilities |
| Flank, Eitan | Corporate Officer · Individual | 0% | 11 facilities |
| Flank, Eitan | Adp Of The SNF · Individual | 0% | 11 facilities |
| Flank, Liat | Corporate Officer · Individual | 0% | 9 facilities |
| Flank, Liat | Adp Of The SNF · Individual | 0% | 9 facilities |
| Flank, Matan | Corporate Officer · Individual | 0% | 9 facilities |
| Flank, Matan | Adp Of The SNF · Individual | 0% | 9 facilities |
| Flank, Shaul | Corporate Officer · Individual | 0% | 10 facilities |
| Flank, Shaul | Adp Of The SNF · Individual | 0% | 10 facilities |
| Giauque, Chad | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Giauque, Chad | Adp Of The SNF · Individual | 0% | 1 facilities |
| Nielsen, Paul | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Nielsen, Paul | Adp Of The SNF · Individual | 0% | 1 facilities |
| Progressive Quality Care Inc | Operational/Managerial Control · Organization | 0% | 12 facilities |
| Progressive Quality Care Inc | Adp Of The SNF · Organization | 0% | 12 facilities |
| Sausen, Joel | Corporate Officer · Individual | 0% | 10 facilities |
| Sausen, Joel | Adp Of The SNF · Individual | 0% | 10 facilities |
| Shiller, Daniel | Corporate Officer · Individual | 0% | 11 facilities |
| Shiller, Daniel | Adp Of The SNF · Individual | 0% | 11 facilities |
·
Fire safety
8 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke4F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Install an approved automatic sprinkler system.
- F
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F
Provide properly protected cooking facilities.
Emergency Preparedness2C
- C
Establish policies and procedures for volunteers.
- C
Provide a means of sharing information on occupancy/needs.
Construction1E
- E
Use approved construction type or materials.
Egress1F
- F
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.
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Other homes nearby
-
Smithville Western Care Center
Wooster, OH · Sprenger Health Care Systems
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 22 min
- Fines
- $42,777
-
Wooster Community Hospital SNF
Wooster, OH
★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 7 h 34 min
- Fines
- $0
-
West View Healthy Living
Wooster, OH
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 49 min
- Fines
- $0