Warrensville Heights, OH

Avenue Care And Rehabilitation Center, The

1-star overall rating with 1-star inspections with $34,146 in total fines with 33 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle

4120 Interchange Corporate Center Road, Warrensville Heights, OH

(216) 896-9900

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Progressive Quality Care

Operator or chain grouping

Approved since

2010-10-18

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

0.42

Registered nurse staffing · state 0.63 · national 0.68

LPN hours / resident day

1.03

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

3.34

All reported nurse hours · state 3.72 · national 3.89

Licensed hours

1.45

RN + LPN hours · state 1.59 · national 1.54

Weekend hours

2.79

Weekend nurse staffing · state 3.29 · national 3.43

Weekend RN hours

0.22

Weekend registered nurse coverage · state 0.41 · national 0.47

Physical therapist

0.01

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.34

CMS adjusted RN staffing hours

Adjusted total hours

2.70

CMS adjusted total nurse staffing hours

Case-mix index

1.70

Higher values indicate more complex resident acuity

RN turnover

54%

Annual RN turnover · state 47% · national 45%

Total nurse turnover

62%

Annual nurse turnover · state 50% · national 46%

SNF VBP

Value-based purchasing

Program rank

10,630

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

Performance score

19.70

Composite VBP score used to determine payment impact.

Payment multiplier

0.9822

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

0.78

Baseline 18.80% · Performance 21.07% · Measure score 0.78 · Achievement 0.78 · Improvement 0

Healthcare-associated infections

2.56

Baseline 7.16% · Performance 7.07% · Measure score 2.56 · Achievement 2.56 · Improvement 0

Total nurse turnover

3.80

Baseline 81.90% · Performance 57.39% · Measure score 3.80 · Achievement 1.54 · Improvement 3.80

Adjusted total nurse staffing

0.75

Baseline 3.23 hours · Performance 3.29 hours · Measure score 0.75 · Achievement 0.75 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.03%	10.72% 0.3 pts worse	No Different than the National Rate · Eligible stays 66 · Observed rate 16.67% · Lower 95% interval 7.68%
Discharge to community	59.37%	50.57% 8.8 pts better	No Different than the National Rate · Eligible stays 54 · Observed rate 46.3% · Lower 95% interval 44.01%
Medicare spending per beneficiary	1.06	1.02 About the same
Drug regimen review with follow-up	92.86%	95.27% 2.4 pts worse	Numerator 39 · Denominator 42
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 42
Discharge self-care score	46.15%	53.69% 7.5 pts worse	Numerator 12 · Denominator 26
Discharge mobility score	42.31%	50.94% 8.6 pts worse	Numerator 11 · Denominator 26
Pressure ulcers or injuries, new or worsened	9.52%	2.29% 7.2 pts worse	Numerator 4 · Denominator 42 · Adjusted rate 6.07%
Healthcare-associated infections requiring hospitalization	7.07%	7.12% About the same	No Different than the National Rate · Eligible stays 44 · Observed rate 9.09% · Lower 95% interval 4.44%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 132
Staff flu vaccination coverage	2.39%	42% 39.6 pts worse	Numerator 6 · Denominator 251
Discharge function score	46.15%	56.45% 10.3 pts worse	Numerator 12 · Denominator 26
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	Not Available	96.28%	Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	0%	25.2% 25.2 pts worse	Numerator 0 · Denominator 26

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	97.7%	92.4% 5.3 pts better	93.4% 4.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 98.8% · Q2 100.0% · Q3 97.4% · Q4 94.4% · 4Q avg 97.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	97.7%	94.5% 3.2 pts better	95.5% 2.2 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 97.7%
Percentage of long-stay residents experiencing one or more falls with major injury	1.0%	3.3% 2.3 pts better	3.3% 2.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 1.3% · Q3 1.3% · Q4 0.0% · 4Q avg 1.0% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	38.8%	26.1% 12.7 pts worse	11.4% 27.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 12.1% · Q2 43.9% · Q3 40.0% · Q4 60.7% · 4Q avg 38.8%
Percentage of long-stay residents who lose too much weight	6.6%	6.2% 0.4 pts worse	5.4% 1.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 6.0% · Q2 4.3% · Q3 7.1% · Q4 8.8% · 4Q avg 6.6%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	5.1%	25.4% 20.3 pts better	19.6% 14.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.8% · Q2 1.4% · Q3 4.3% · Q4 8.8% · 4Q avg 5.1%
Percentage of long-stay residents who received an antipsychotic medication	9.4%	11.5% 2.1 pts better	16.7% 7.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 10.4% · Q2 9.8% · Q3 9.6% · Q4 7.8% · 4Q avg 9.4% · 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	1.6%	7.7% 6.1 pts better	16.3% 14.7 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 1.6% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	4.4%	6.2% 1.8 pts better	14.9% 10.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 3.2% · Q3 9.4% · Q4 1.6% · 4Q avg 4.4% · 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	0.3%	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 1.4% · 4Q avg 0.3% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	18.2%	21.7% 3.5 pts better	19.8% 1.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 26.3% · Q2 12.8% · Q3 11.3% · Q4 22.6% · 4Q avg 18.2%
Percentage of long-stay residents with pressure ulcers	6.1%	3.7% 2.4 pts worse	5.1% 1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 6.5% · Q2 4.9% · Q3 6.9% · Q4 6.3% · 4Q avg 6.1% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	91.1%	78.1% 13 pts better	81.7% 9.4 pts better	Short Stay · 2024Q4-2025Q3 · Q1 92.3% · Q2 87.8% · Q3 90.0% · Q4 94.4% · 4Q avg 91.1%
Percentage of short-stay residents who had an outpatient emergency department visit	13.1%	12.5% 0.6 pts worse	12.0% 1.1 pts worse	Short Stay · 20240701-20250630 · Adjusted 13.1% · Observed 15.8% · Expected 13.5% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.9%	1.2% 0.3 pts better	1.6% 0.7 pts better	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.8% · Q4 1.6% · 4Q avg 0.9% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	81.8%	75.6% 6.2 pts better	79.7% 2.1 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 81.8%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	35.4%	25.1% 10.3 pts worse	23.9% 11.5 pts worse	Short Stay · 20240701-20250630 · Adjusted 35.4% · Observed 44.7% · Expected 30.2% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-08-13 · Fire 2025-08-13

33 health deficiencies

Top issue: Quality of Life and Care (8 deficiencies)

9 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)

Cycle 2 Health 2023-05-24 · Fire 2023-05-24

14 health deficiencies

Top issue: Quality of Life and Care (6 deficiencies)

13 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (4 deficiencies)

Cycle 3 Health 2019-08-22 · Fire 2019-08-22

6 health deficiencies

Top issue: Pharmacy Service (2 deficiencies)

12 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-08-13

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 2025-12-09

F · Potential for more than minimal harm 2025-08-13

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-12-09

F · Potential for more than minimal harm 2025-08-13

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-12-09

F · Potential for more than minimal harm 2025-08-13

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2025-12-09

F · Potential for more than minimal harm 2025-08-13

K916 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have a battery powered remote alarm panel in a location accessible by operating personnel.

Corrected 2025-12-09

E · Potential for more than minimal harm 2025-08-13

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2025-12-09

E · Potential for more than minimal harm 2025-08-13

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2025-12-09

E · Potential for more than minimal harm 2025-08-13

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2025-12-09

E · Potential for more than minimal harm 2025-08-13

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2025-12-09

F · Potential for more than minimal harm 2023-05-24

K311 · Smoke Deficiencies

Fire Safety

Have an enclosure around a vertical opening shaft.

Corrected 2023-06-30

F · Potential for more than minimal harm 2023-05-24

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2023-06-30

F · Potential for more than minimal harm 2023-05-24

K347 · Smoke Deficiencies

Fire Safety

Properly provide smoke detection systems in areas open to corridors.

Corrected 2023-06-30

F · Potential for more than minimal harm 2023-05-24

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-06-30

F · Potential for more than minimal harm 2023-05-24

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2023-06-30

F · Potential for more than minimal harm 2023-05-24

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2023-06-30

F · Potential for more than minimal harm 2023-05-24

K753 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of highly flammable decorations.

Corrected 2023-06-30

F · Potential for more than minimal harm 2023-05-24

K917 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure electrical receptacles or cover plates have distinctive color or marking.

Corrected 2023-06-30

F · Potential for more than minimal harm 2023-05-24

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2023-06-30

F · Potential for more than minimal harm 2023-05-24

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2023-06-30

F · Potential for more than minimal harm 2023-05-24

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2023-06-30

E · Potential for more than minimal harm 2023-05-24

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2023-06-30

E · Potential for more than minimal harm 2023-05-24

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2023-06-30

F · Potential for more than minimal harm 2019-08-22

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2019-09-20

F · Potential for more than minimal harm 2019-08-22

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2019-09-20

F · Potential for more than minimal harm 2019-08-22

K761 · Miscellaneous Deficiencies

Fire Safety

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

Corrected 2019-09-20

F · Potential for more than minimal harm 2019-08-22

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2019-09-20

E · Potential for more than minimal harm 2019-08-22

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2019-09-20

E · Potential for more than minimal harm 2019-08-22

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2019-09-20

E · Potential for more than minimal harm 2019-08-22

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2019-09-20

E · Potential for more than minimal harm 2019-08-22

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2019-09-20

E · Potential for more than minimal harm 2019-08-22

K781 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of portable space heaters.

Corrected 2019-09-20

E · Potential for more than minimal harm 2019-08-22

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2019-09-20

C · Minimal harm 2019-08-22

E15 · Emergency Preparedness Deficiencies

Fire Safety

Address subsistence needs for staff and patients.

Corrected 2019-09-20

C · Minimal harm 2019-08-22

E9 · Emergency Preparedness Deficiencies

Fire Safety

Include a process for Emergency Preparedness collaboration.

Corrected 2019-09-20

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-12-18

F839 · Administration Deficiencies

Health

Employ staff that are licensed, certified, or registered in accordance with state laws.

Corrected 2025-12-19

D · Potential for more than minimal harm 2025-12-18

F691 · Quality of Life and Care Deficiencies

Health

Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

Corrected 2025-12-19

E · Potential for more than minimal harm 2025-10-29

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 2025-12-18

E · Potential for more than minimal harm 2025-10-29

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 2025-12-18

E · Potential for more than minimal harm 2025-10-29

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-12-18

D · Potential for more than minimal harm 2025-10-29

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 2025-12-18

D · Potential for more than minimal harm 2025-10-06

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2025-12-18

F · Potential for more than minimal harm 2025-08-13

F727 · Nursing and Physician Services Deficiencies

Health

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Corrected 2025-12-18

F · Potential for more than minimal harm 2025-08-13

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2025-12-18

E · Potential for more than minimal harm 2025-08-13

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 2025-12-18

E · Potential for more than minimal harm 2025-08-13

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 2025-12-18

E · Potential for more than minimal harm 2025-08-13

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 2025-12-18