Avon, OH

Avon Oaks Nursing Home

4-star overall rating with 3-star inspections with 10 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle

37800 French Creek Rd, Avon, OH

(440) 934-5204

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

99

Certified beds

Average residents

91

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Colev Gestetner

Operator or chain grouping

Approved since

1989-09-29

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.83

Registered nurse staffing

LPN hours / resident day

0.87

Licensed practical nurse staffing

Aide hours / resident day

2.80

Nurse aide staffing

Weekend hours

4.18

Weekend nurse staffing

RN turnover

32%

Annual RN turnover

Total nurse turnover

46%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.3%
92.4%
6.9 pts better
93.4%
5.9 pts better
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents experiencing one or more falls with major injury 3.0%
3.3%
0.3 pts better
3.3%
0.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 14.0%
26.1%
12.1 pts better
11.4%
2.6 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 11.8%
6.2%
5.6 pts worse
5.4%
6.4 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 15.3%
25.4%
10.1 pts better
19.6%
4.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 8.7%
11.5%
2.8 pts better
16.7%
8 pts better
Long Stay · 2024Q4-2025Q3
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
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
Percentage of long-stay residents whose need for help with daily activities has increased 2.9%
6.2%
3.3 pts better
14.9%
12 pts better
Long Stay · 2024Q4-2025Q3
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
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
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 32.5%
21.7%
10.8 pts worse
19.8%
12.7 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 3.1%
3.7%
0.6 pts better
5.1%
2 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 96.6%
78.1%
18.5 pts better
81.7%
14.9 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 4.5%
12.5%
8 pts better
12.0%
7.5 pts better
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 1.1%
1.2%
0.1 pts better
1.6%
0.5 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 95.5%
75.6%
19.9 pts better
79.7%
15.8 pts better
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 18.6%
25.1%
6.5 pts better
23.9%
5.3 pts better
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-01-16 · Fire 2025-01-16

10 health deficiencies

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

11 fire-safety deficiencies

Top issue: Construction (2 deficiencies)

Cycle 2 Health 2022-07-28 · Fire 2022-07-28

0 health deficiencies

No concentrated health issue counts in this cycle.

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2019-07-18 · Fire 2019-07-18

6 health deficiencies

Top issue: Pharmacy Service (2 deficiencies)

2 fire-safety deficiencies

Top issue: Construction (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-01-16

E15 · Emergency Preparedness Deficiencies

Fire Safety

Address subsistence needs for staff and patients.

Corrected 2025-02-06

F · Potential for more than minimal harm 2025-01-16

E25 · Emergency Preparedness Deficiencies

Fire Safety

Create arrangements with other facilities to receive patients.

Corrected 2025-02-06

F · Potential for more than minimal harm 2025-01-16

K131 · Construction Deficiencies

Fire Safety

Meet requirements for sections of health care facilities separated by fire resistive construction.

Corrected 2025-02-06

F · Potential for more than minimal harm 2025-01-16

K232 · Egress Deficiencies

Fire Safety

Have corridors or aisles that are unobstructed and are at least 8 feet in width.

Corrected 2025-02-06

F · Potential for more than minimal harm 2025-01-16

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 2025-02-06

F · Potential for more than minimal harm 2025-01-16

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-02-06

F · Potential for more than minimal harm 2025-01-16

K521 · Services Deficiencies

Fire Safety

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

Corrected 2025-02-06

F · Potential for more than minimal harm 2025-01-16

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-02-06

F · Potential for more than minimal harm 2025-01-16

K919 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the use of electrical equipment.

Corrected 2025-02-06

F · Potential for more than minimal harm 2025-01-16

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2025-02-06

E · Potential for more than minimal harm 2025-01-16

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2025-02-06

F · Potential for more than minimal harm 2022-07-28

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 2022-09-16

F · Potential for more than minimal harm 2022-07-28

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2022-09-16

F · Potential for more than minimal harm 2022-07-28

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-09-16

E · Potential for more than minimal harm 2019-07-18

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2019-08-06

E · Potential for more than minimal harm 2019-07-18

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2019-08-06

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-01-16

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 2025-02-06

E · Potential for more than minimal harm 2025-01-16

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-02-06

D · Potential for more than minimal harm 2025-01-16

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 2025-02-06

D · Potential for more than minimal harm 2025-01-16

F582 · Resident Rights Deficiencies

Health

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2025-02-06

D · Potential for more than minimal harm 2025-01-16

F676 · Quality of Life and Care Deficiencies

Health

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Corrected 2025-02-06

D · Potential for more than minimal harm 2025-01-16

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-02-06

D · Potential for more than minimal harm 2025-01-16

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 2025-02-06

D · Potential for more than minimal harm 2025-01-16

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2025-02-06

D · Potential for more than minimal harm 2025-01-16

F698 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-02-06

D · Potential for more than minimal harm 2025-01-16

F805 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Corrected 2025-02-06

D · Potential for more than minimal harm 2019-07-18

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 2019-08-06

D · Potential for more than minimal harm 2019-07-18

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 2019-08-06

D · Potential for more than minimal harm 2019-07-18

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2019-08-06

D · Potential for more than minimal harm 2019-07-18

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2019-08-06

D · Potential for more than minimal harm 2019-07-18

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2019-08-06

D · Potential for more than minimal harm 2019-07-18

F770 · Administration Deficiencies

Health

Provide timely, quality laboratory services/tests to meet the needs of residents.

Corrected 2019-08-06

Penalties and ownership

What sits behind the stars

Ownership

Werzberger, Joel

5% Or Greater Direct Ownership Interest · Individual

33% 1 facilities 2023-06-30
Gestetner, Colev

5% Or Greater Direct Ownership Interest · Individual

13% 10 facilities 2023-06-30
Moskowitz, Yisroel

5% Or Greater Direct Ownership Interest · Individual

13% 6 facilities 2023-06-30
Basch, Joel

5% Or Greater Direct Ownership Interest · Individual

8% 3 facilities 2023-06-30
Basch, Joshua

5% Or Greater Direct Ownership Interest · Individual

8% 5 facilities 2023-06-30
Basch, Moshe

5% Or Greater Direct Ownership Interest · Individual

8% 3 facilities 2023-06-30
Basch, Yitzi

5% Or Greater Direct Ownership Interest · Individual

8% 3 facilities 2023-06-30
Schuck, Yosef

5% Or Greater Direct Ownership Interest · Individual

7% 1 facilities 2023-06-30
Costello, Colleen

W-2 Managing Employee · Individual

0% 1 facilities 1994-04-01
Eren, Itri

W-2 Managing Employee · Individual

0% 8 facilities 2023-05-01
Gestetner, Colev

Corporate Officer · Individual

0% 10 facilities 2023-06-30
Werzberger, Joel

Corporate Director · Individual

0% 1 facilities 2023-06-30
Werzberger, Joel

Corporate Officer · Individual

0% 1 facilities 2023-06-30

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Health
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Staffing
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#3

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Overall
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Health
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Staffing
3 / 5
Fines
$16,801

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