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)
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
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
Chain footprint
7 facilities
Chain averages 4 overall / 3 health / 3 staffing / 4 quality stars
Changed ownership
No
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
0.83
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
0.87
Licensed practical nurse staffing · state 0.96 · national 0.87
Aide hours / resident day
2.80
Nurse aide staffing · state 2.14 · national 2.35
Total nurse hours
4.51
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
4.18
Weekend nurse staffing · state 3.29 · national 3.43
Weekend RN hours
0.57
Weekend registered nurse coverage · state 0.41 · national 0.47
Physical therapist
0.04
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.74
CMS adjusted RN staffing hours
Adjusted total hours
3.99
CMS adjusted total nurse staffing hours
Case-mix index
1.55
Higher values indicate more complex resident acuity
RN turnover
32%
Annual RN turnover · state 47% · national 45%
Total nurse turnover
46%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Value-based purchasing
Program rank
9,251
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
24.28
Composite VBP score used to determine payment impact.
Payment multiplier
0.9834
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0.62
Baseline 19.01% · Performance 21.14% · Measure score 0.62 · Achievement 0.62 · Improvement 0
Healthcare-associated infections
0
Baseline 6.76% · Performance 8.03% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
5.03
Baseline 20.24% · Performance 43.14% · Measure score 5.03 · Achievement 5.03 · Improvement 0
Adjusted total nurse staffing
4.07
Baseline 4.67 hours · Performance 4.24 hours · Measure score 4.07 · Achievement 4.07 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.67% |
10.72%
1.9 pts worse
|
No Different than the National Rate · Eligible stays 112 · Observed rate 16.96% · Lower 95% interval 8.28% |
| Discharge to community | 46.07% |
50.57%
4.5 pts worse
|
No Different than the National Rate · Eligible stays 114 · Observed rate 38.6% · Lower 95% interval 36.21% |
| Medicare spending per beneficiary | 0.87 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 99.11% |
95.27%
3.8 pts better
|
Numerator 111 · Denominator 112 |
| Falls with major injury | 1.79% |
0.77%
1 pts worse
|
Numerator 2 · Denominator 112 |
| Discharge self-care score | 61.97% |
53.69%
8.3 pts better
|
Numerator 44 · Denominator 71 |
| Discharge mobility score | 63.38% |
50.94%
12.4 pts better
|
Numerator 45 · Denominator 71 |
| Pressure ulcers or injuries, new or worsened | 1.79% |
2.29%
0.5 pts better
|
Numerator 2 · Denominator 112 · Adjusted rate 1.8% |
| Healthcare-associated infections requiring hospitalization | 8.03% |
7.12%
0.9 pts worse
|
No Different than the National Rate · Eligible stays 81 · Observed rate 9.88% · Lower 95% interval 4.77% |
| Staff COVID-19 vaccination coverage | 46.82% |
8.2%
38.6 pts better
|
Numerator 81 · Denominator 173 |
| Staff flu vaccination coverage | 48.55% |
42%
6.5 pts better
|
Numerator 84 · Denominator 173 |
| Discharge function score | 71.83% |
56.45%
15.4 pts better
|
Numerator 51 · Denominator 71 |
| Transfer of health information to provider | 96.88% |
95.95%
0.9 pts better
|
Numerator 31 · Denominator 32 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 61 · Denominator 61 |
| Resident COVID-19 vaccinations up to date | 38.24% |
25.2%
13 pts better
|
Numerator 26 · Denominator 68 |
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 · Q1 97.3% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 99.3% |
| 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 | 3.0% |
3.3%
0.3 pts better
|
3.3%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.1% · Q2 2.8% · Q3 2.7% · Q4 2.5% · 4Q avg 3.0% · Used in QM five-star |
| 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 · Q1 7.5% · Q2 9.1% · Q3 20.3% · Q4 18.2% · 4Q avg 14.0% |
| 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 · Q1 14.5% · Q2 13.0% · Q3 10.5% · Q4 9.7% · 4Q avg 11.8% |
| 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 · Q1 15.5% · Q2 21.4% · Q3 12.1% · Q4 12.7% · 4Q avg 15.3% |
| 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 · Q1 12.0% · Q2 11.1% · Q3 6.4% · Q4 5.6% · 4Q avg 8.7% · 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 | 4.4% |
7.7%
3.3 pts better
|
16.3%
11.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q3 0.0% · Q4 6.6% · 4Q avg 4.4% · Used in QM five-star |
| 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 · Q1 9.6% · Q2 2.1% · Q3 0.0% · Q4 0.0% · 4Q avg 2.9% · 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 1.4% · Q2 0.0% · 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 | 0.0% |
0.5%
0.5 pts better
|
1.7%
1.7 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 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 · Q1 36.7% · Q2 25.5% · Q3 25.9% · Q4 41.4% · 4Q avg 32.5% |
| 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 · Q1 3.1% · Q2 1.8% · Q3 4.0% · Q4 3.4% · 4Q avg 3.1% · Used in QM five-star |
| 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 · Q1 97.1% · Q2 97.1% · Q3 97.6% · Q4 94.3% · 4Q avg 96.6% |
| 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 · Adjusted 4.5% · Observed 4.7% · Expected 11.6% · Used in QM five-star |
| 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 · Q1 0.0% · Q2 1.1% · Q3 1.1% · Q4 2.6% · 4Q avg 1.1% · Used in QM five-star |
| 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 · 4Q avg 95.5% |
| 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 · Adjusted 18.6% · Observed 20.9% · Expected 26.8% · Used in QM five-star |
Survey summary
Recent inspection cycles
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
Gestetner, Colev
5% Or Greater Direct Ownership Interest · Individual
Moskowitz, Yisroel
5% Or Greater Direct Ownership Interest · Individual
Basch, Joel
5% Or Greater Direct Ownership Interest · Individual
Basch, Joshua
5% Or Greater Direct Ownership Interest · Individual
Basch, Moshe
5% Or Greater Direct Ownership Interest · Individual
Basch, Yitzi
5% Or Greater Direct Ownership Interest · Individual
Schuck, Yosef
5% Or Greater Direct Ownership Interest · Individual
Costello, Colleen
W-2 Managing Employee · Individual
Eren, Itri
W-2 Managing Employee · Individual
Gestetner, Colev
Corporate Officer · Individual
Werzberger, Joel
Corporate Director · Individual
Werzberger, Joel
Corporate Officer · Individual
Nearby options
Other facilities in reach
#1
Woods On French Creek Nursing & Rehab Center The
Avon, OH
5-star overall rating with 4-star inspections with 5 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
#2
St Mary Of The Woods
Avon, OH
5-star overall rating with 5-star inspections with 3 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
#3
Main Street Care Center
Avon Lake, OH
4-star overall rating with 3-star inspections with $16,801 in total fines with 1 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
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