Avenue at Aurora
425 South Chillicothe Road, Aurora, OH 44202 · Portage County · 98 certified beds · avg 93 residents/day · certified since Aug 31, 2015
Part of chain: PROGRESSIVE QUALITY CARE (11 facilities, chain avg rating 2.7★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Dec 4, 2025 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Dec 18, 2025 (Deficient, Provider has date of correction)
All citations in the current public record (14)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jan 20, 2026 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Dec 4, 2025 | ▲ G · Actual harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Aug 18, 2025 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Apr 17, 2025 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint |
| May 20, 2024 | F · Potential for harm, facility-wide | The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. · from a complaint |
| May 20, 2024 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint |
| May 20, 2024 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| May 20, 2024 | D · Potential for harm, one-off | The facility did not provide safe and appropriate pain management for a resident who needed it. · from a complaint |
| May 20, 2024 | D · Potential for harm, one-off | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint |
| Sep 21, 2023 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Sep 21, 2023 | D · Potential for harm, one-off | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. |
| Aug 24, 2023 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint |
| Aug 24, 2023 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint |
| Aug 12, 2021 | F · Potential for harm, facility-wide | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (2 → 1).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2021 | 1 | 0 | F |
| 2023 | 4 | 0 | F |
| 2024 | 5 | 0 | F |
| 2025 | 3 | 1 | G ▲ |
| 2026 | 1 | 0 | D |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Ohio avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 2.98 | 3.45 | 3.95 | bottom 23% in Ohio; bottom 13% in the U.S. |
| Registered Nurse hours | 0.66 | 0.60 | 0.69 | top 29% in Ohio; top 40% in the U.S. |
| Weekend total nurse staffing | 2.68 | 3.07 | 3.50 | bottom 25% in Ohio; bottom 15% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.48 | 0.42 | 0.48 | top 30% in Ohio; top 35% in the U.S. |
| Total nursing staff turnover (%) | 54.4 | 48.7 | 45.8 | bottom 33% in Ohio; bottom 26% in the U.S. |
| RN turnover (%) | 23.5 | 43.9 | 42.9 | top 20% in Ohio; top 19% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.60, RN 0.80, weekend 3.24. Staffing rating: 2/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Flank, Eitan | Individual | 5% or Greater Direct Ownership Interest | 20% | 06/10/2022 |
| Flank, Liat | Individual | 5% or Greater Direct Ownership Interest | 20% | 06/10/2022 |
| Flank, Matan | Individual | 5% or Greater Direct Ownership Interest | 20% | 06/10/2022 |
| Flank, Shaul | Individual | 5% or Greater Direct Ownership Interest | 20% | 06/10/2022 |
| Sausen, Joel | Individual | 5% or Greater Direct Ownership Interest | 20% | 06/10/2022 |
| Flank, Eitan | Individual | Corporate Officer | NOT APPLICABLE | 07/13/2011 |
| Flank, Eitan | Individual | ADP of the SNF | NOT APPLICABLE | 06/10/2022 |
| Flank, Liat | Individual | Corporate Officer | NOT APPLICABLE | 07/13/2011 |
| Flank, Liat | Individual | ADP of the SNF | NOT APPLICABLE | 06/10/2022 |
| Flank, Matan | Individual | Corporate Officer | NOT APPLICABLE | 07/13/2011 |
| Flank, Matan | Individual | ADP of the SNF | NOT APPLICABLE | 06/10/2022 |
| Flank, Shaul | Individual | Corporate Officer | NOT APPLICABLE | 07/13/2011 |
| Flank, Shaul | Individual | ADP of the SNF | NOT APPLICABLE | 06/10/2022 |
| Progressive Quality Care INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 02/05/2015 |
| Progressive Quality Care INC | Organization | ADP of the SNF | NOT APPLICABLE | 03/31/2025 |
| Sausen, Joel | Individual | Corporate Officer | NOT APPLICABLE | 07/13/2011 |
| Sausen, Joel | Individual | ADP of the SNF | NOT APPLICABLE | 06/10/2022 |
| Shiller, Daniel | Individual | Corporate Director | NOT APPLICABLE | 07/13/2011 |
| Shiller, Daniel | Individual | ADP of the SNF | NOT APPLICABLE | 02/05/2015 |
| Stahlman, Karen | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/12/2018 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "How do you keep residents' medical records accurate, complete, and secure?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What is your nurse and aide staffing ratio on each shift, including nights and weekends?"
- "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "How do you assess and manage residents' pain, especially for those who have trouble communicating?"
- "What systems do you use to prevent medication errors, and what happens when one occurs?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Aurora Manor Special Care Cent | 0.8 mi | Aurora, OH | ★★☆☆☆ | 2/5 | abuse |
| Kensington at Anna Maria | 2.7 mi | Aurora, OH | ★★★★★ | 5/5 | |
| Anna Maria of Aurora | 2.8 mi | Aurora, OH | ★★★★☆ | 3/5 | |
| Twinsburg Post Acute | 4.9 mi | Twinsburg, OH | ★☆☆☆☆ | 1/5 | |
| Arbors at Streetsboro | 5.0 mi | Streetsboro, OH | ★☆☆☆☆ | 1/5 | |
| Canterbury of Twinsburg | 5.3 mi | Twinsburg, OH | ★★★★☆ | 3/5 | |
| Manor of Grande Village | 5.5 mi | Twinsburg, OH | ★★★☆☆ | 3/5 | |
| Eliza at Chagrin Falls | 7.5 mi | Chagrin Falls, OH | ★★★☆☆ | 3/5 | |
| Crown Center at Laurel Lake | 7.7 mi | Hudson, OH | ★★★★☆ | 4/5 | |
| Avenue at Macedonia | 8.4 mi | Macedonia, OH | ★★☆☆☆ | 2/5 | |
| Hudson Springs Nursing and Rehab | 8.6 mi | Stow, OH | ★★☆☆☆ | 2/5 | |
| Hudson Elms Nursing Center | 9.0 mi | Hudson, OH | ★☆☆☆☆ | 1/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 366431.