Avenue at Macedonia
9730 Valley View Road, Macedonia, OH 44056 · Summit County · 98 certified beds · avg 85 residents/day · certified since Aug 14, 2017
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: ★★☆☆☆2/5 · CMS overall rating: 2/5
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 · Nov 14, 2024 · F-0684 · triggered by a complaint
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.
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 3, 2024 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Oct 24, 2022 · F-0686
The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.
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: Nov 15, 2022 (Deficient, Provider has date of correction)
All citations in the current public record (34)
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 |
|---|---|---|
| Feb 27, 2025 | E · Potential for harm, repeated | 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. |
| Feb 27, 2025 | E · Potential for harm, repeated | The facility did not educate residents and staff about COVID-19 vaccination, offer the vaccine to those eligible after that education, or properly document everyone's vaccination status. |
| Feb 27, 2025 | 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. |
| Feb 27, 2025 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint |
| Feb 27, 2025 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Feb 27, 2025 | 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 |
| Feb 27, 2025 | 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. |
| Feb 27, 2025 | D · Potential for harm, one-off | The facility did not help a resident get vision and hearing services — such as eye exams, glasses, hearing tests, or hearing aids. |
| Feb 27, 2025 | D · Potential for harm, one-off | The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. |
| Feb 27, 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 |
| Feb 27, 2025 | C · Minimal risk, facility-wide | The facility's activities program was not run by a qualified professional. The person directing recreation and social activities must have proper training or credentials. |
| Jan 22, 2025 | D · Potential for harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Nov 14, 2024 | ▲ G · Actual 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 |
| Nov 14, 2024 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · from a complaint |
| Jul 29, 2024 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint |
| Jul 29, 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 |
| Feb 13, 2024 | D · Potential for harm, one-off | The facility did not treat residents with respect and dignity, or did not let them keep and use their own personal belongings. · from a complaint |
| Jan 4, 2024 | D · Potential for harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Jan 4, 2024 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| Jan 4, 2024 | D · Potential for harm, one-off | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. · from a complaint |
| Jan 4, 2024 | D · Potential for harm, one-off | The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. · from a complaint |
| Oct 12, 2023 | E · Potential for harm, repeated | The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. · from a complaint |
| Oct 24, 2022 | ▲ G · Actual harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. |
| Oct 24, 2022 | F · Potential for harm, facility-wide | The facility did not dispose of garbage and refuse properly. |
| Oct 24, 2022 | 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. |
| Oct 24, 2022 | D · Potential for harm, one-off | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. |
| Oct 24, 2022 | D · Potential for harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| Oct 24, 2022 | D · Potential for harm, one-off | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Oct 24, 2022 | D · Potential for harm, one-off | The facility did not prepare and serve food in a form that meets each resident's individual needs — for example, chopped, pureed, or softened food for residents with chewing or swallowing problems. |
| Oct 24, 2022 | 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. |
| Nov 14, 2019 | E · Potential for harm, repeated | The facility did not provide residents with enough to drink, or with drinks matching their needs and preferences, to keep them properly hydrated. |
| Nov 14, 2019 | 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. |
| Nov 14, 2019 | 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. |
| Nov 14, 2019 | C · Minimal risk, facility-wide | The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (8 → 10).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 4 | 0 | E |
| 2022 | 8 | 1 | G ▲ |
| 2023 | 1 | 0 | E |
| 2024 | 9 | 1 | G ▲ |
| 2025 | 12 | 0 | E |
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)
1 fine totaling $23,140, plus 1 Medicare payment denial period.
| Date | Type | Amount / length |
|---|---|---|
| Feb 27, 2025 | Payment Denial | 4 days from Apr 6, 2025 |
| Nov 14, 2024 | Fine | $23,140 |
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) | 0.00 | 3.45 | 3.95 | — |
| Registered Nurse hours | 0.00 | 0.60 | 0.69 | — |
| Weekend total nurse staffing | 0.00 | 3.07 | 3.50 | — |
| Weekend RN hours (not acuity-adjusted) | 0.00 | 0.42 | 0.48 | — |
| Total nursing staff turnover (%) | 0.0 | 48.7 | 45.8 | — |
| RN turnover (%) | 0.0 | 43.9 | 42.9 | — |
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 0.00, RN 0.00, weekend 0.00. Staffing rating: —/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: 4/5 · long-stay residents: 5/5 · short-stay residents: 2/5
Who owns this facility
For profit - Corporation
| 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 |
| Brock, Katherine | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/26/2024 |
| Brock, Katherine | Individual | ADP of the SNF | NOT APPLICABLE | 02/26/2024 |
| Flank, Eitan | Individual | Corporate Officer | NOT APPLICABLE | 06/24/2015 |
| Flank, Eitan | Individual | ADP of the SNF | NOT APPLICABLE | 06/24/2015 |
| Flank, Liat | Individual | Corporate Officer | NOT APPLICABLE | 06/24/2015 |
| Flank, Liat | Individual | ADP of the SNF | NOT APPLICABLE | 06/10/2022 |
| Flank, Matan | Individual | Corporate Officer | NOT APPLICABLE | 06/24/2015 |
| Flank, Matan | Individual | ADP of the SNF | NOT APPLICABLE | 06/10/2022 |
| Flank, Shaul | Individual | Corporate Officer | NOT APPLICABLE | 06/24/2015 |
| Flank, Shaul | Individual | ADP of the SNF | NOT APPLICABLE | 06/10/2022 |
| Progressive Quality Care INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 03/27/2017 |
| Progressive Quality Care INC | Organization | ADP of the SNF | NOT APPLICABLE | 03/27/2025 |
| Sausen, Joel | Individual | Corporate Officer | NOT APPLICABLE | 06/24/2015 |
| Sausen, Joel | Individual | ADP of the SNF | NOT APPLICABLE | 06/10/2022 |
| Shiller, Daniel | Individual | Corporate Officer | NOT APPLICABLE | 03/27/2017 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "How do you handle COVID-19 vaccination for residents and staff, and what happens during an outbreak?"
- "Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
- "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 |
|---|---|---|---|---|---|
| Northfield Village Retirement Community | 2.1 mi | Northfield, OH | ★★★★★ | 4/5 | |
| Manor of Grande Village | 2.9 mi | Twinsburg, OH | ★★★☆☆ | 3/5 | |
| Aventura at Walton Hills | 3.4 mi | Walton Hills, OH | ★★☆☆☆ | 2/5 | |
| Heritage Health Care Center | 3.5 mi | Oakwood Village, OH | ★★☆☆☆ | 2/5 | |
| Grande Oaks | 3.5 mi | Oakwood Village, OH | ★★☆☆☆ | 1/5 | |
| Twinsburg Post Acute | 3.6 mi | Twinsburg, OH | ★☆☆☆☆ | 1/5 | |
| Canterbury of Twinsburg | 4.1 mi | Twinsburg, OH | ★★★★☆ | 3/5 | |
| Brentwood Health Care Center | 4.2 mi | Sagamore Hills, OH | ★★★★☆ | 4/5 | |
| Crown Center at Laurel Lake | 5.0 mi | Hudson, OH | ★★★★☆ | 4/5 | |
| Hudson Elms Nursing Center | 5.6 mi | Hudson, OH | ★☆☆☆☆ | 1/5 | |
| Heritage of Hudson | 5.9 mi | Hudson, OH | ★★★★☆ | 4/5 | |
| Oaks of Brecksville | 6.3 mi | Brecksville, OH | ★★★★☆ | 4/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 366454.