Avenue at Medina

Name: Avenue at Medina
Address: 699 EAST SMITH ROAD, Medina, OH, 44256, US
Telephone: 3307217001

699 East Smith Road, Medina, OH 44256 · Medina County · 70 certified beds · avg 62 residents/day · certified since Jun 20, 2013

Part of chain: PROGRESSIVE QUALITY CARE (11 facilities, chain avg rating 2.7★)

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.13

Nurse hours/resident/day (adjusted)

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.

All citations in the current public record (23)

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 18, 2026	E · Potential for harm, repeated	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint
Feb 18, 2026	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 18, 2026	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 18, 2026	D · Potential for harm, one-off	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.
Dec 3, 2024	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
Dec 3, 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
Dec 3, 2024	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
Jul 25, 2024	D · Potential for 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. · from a complaint
Jul 25, 2024	D · Potential for harm, one-off	The facility did not provide residents with enough to drink, or with drinks matching their needs and preferences, to keep them properly hydrated. · from a complaint
Jan 26, 2024	E · Potential for harm, repeated	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
Jan 26, 2024	D · Potential for harm, one-off	The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council. · from a complaint
Jan 26, 2024	D · Potential for harm, one-off	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint
Jan 26, 2024	D · Potential for harm, one-off	The facility did not safely and appropriately administer IV fluids (fluids given through a vein) for residents who needed them. · from a complaint
Jan 26, 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
Jan 26, 2024	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
Nov 23, 2022	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.
Nov 23, 2022	E · Potential for harm, repeated	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Nov 23, 2022	E · Potential for harm, repeated	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.
Nov 23, 2022	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.
Nov 23, 2022	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.
Nov 23, 2022	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Dec 28, 2019	D · Potential for harm, one-off	The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle.
Dec 28, 2019	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (6 → 4).

Year	Citations	Worst severity that year
2019	2	D
2022	6	F
2024	11	E
2026	4	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)

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)	3.13	3.45	3.95	bottom 36% in Ohio; bottom 19% in the U.S.
Registered Nurse hours	0.54	0.60	0.69	bottom 49% in Ohio; bottom 44% in the U.S.
Weekend total nurse staffing	2.84	3.07	3.50	bottom 41% in Ohio; bottom 23% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.41	0.42	0.48	top 43% in Ohio; top 46% in the U.S.
Total nursing staff turnover (%)	50.0	48.7	45.8	bottom 46% in Ohio; bottom 38% in the U.S.
RN turnover (%)	36.4	43.9	42.9	top 38% in Ohio; top 40% 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 3.67, RN 0.63, weekend 3.33. 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 - 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
Flank, Eitan	Individual	Corporate Officer	NOT APPLICABLE	11/19/2009
Flank, Eitan	Individual	ADP of the SNF	NOT APPLICABLE	01/15/2025
Flank, Liat	Individual	Corporate Officer	NOT APPLICABLE	11/19/2009
Flank, Liat	Individual	ADP of the SNF	NOT APPLICABLE	12/03/2024
Flank, Matan	Individual	Corporate Officer	NOT APPLICABLE	11/19/2009
Flank, Matan	Individual	ADP of the SNF	NOT APPLICABLE	12/03/2024
Flank, Shaul	Individual	Corporate Officer	NOT APPLICABLE	11/19/2009
Flank, Shaul	Individual	ADP of the SNF	NOT APPLICABLE	12/03/2024
Jain, Sushil	Individual	Operational/Managerial Control	NOT APPLICABLE	06/19/2013
Jain, Sushil	Individual	ADP of the SNF	NOT APPLICABLE	06/19/2013
Nedolast, Sidney	Individual	Operational/Managerial Control	NOT APPLICABLE	09/16/2021
Nedolast, Sidney	Individual	ADP of the SNF	NOT APPLICABLE	09/16/2021
Progressive Quality Care INC	Organization	Operational/Managerial Control	NOT APPLICABLE	01/01/2013
Progressive Quality Care INC	Organization	ADP of the SNF	NOT APPLICABLE	12/30/2024
Sausen, Joel	Individual	Corporate Officer	NOT APPLICABLE	11/19/2009

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"How do you handle COVID-19 vaccination for residents and staff, and what happens during an outbreak?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"How do you assess and manage residents' pain, especially for those who have trouble communicating?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
"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
Samaritan Care Center and Villa	0.2 mi	Medina, OH	★★★★☆	3/5
Medina Center for Rehabilitation and Nursing	0.3 mi	Medina, OH	★★☆☆☆	1/5	SFF
Medina BSD Opco LLC	1.3 mi	Medina, OH	★★☆☆☆	2/5
Champion Creek Health and Rehabilitation	2.0 mi	Medina, OH		—/5
Western Reserve Masonic Comm	2.6 mi	Medina, OH	★★★★★	5/5
Brunswick Pointe Transitional Care	6.3 mi	Brunswick, OH	★★★★★	5/5
Life Care Center of Medina	6.3 mi	Medina, OH	★★★★☆	3/5
Willowood Care Center of Brunswick	7.5 mi	Brunswick, OH	★★★☆☆	3/5
Pearlview Rehab & Wellness Ctr	7.8 mi	Brunswick, OH	★★☆☆☆	1/5
Wadsworth Pointe	8.0 mi	Wadsworth, OH	★★★★★	5/5
Copley Health Center	10.0 mi	Copley, OH	★★★★☆	3/5
Altercare of Wadsworth	10.0 mi	Wadsworth, OH	★★★★☆	3/5

Compare this facility with the 3 closest →

All facilities in Medina →

Facility data as of CMS processing date 2026-08-01. CCN 366407.

The Care File

Visit checklist — Avenue at Medina

699 East Smith Road, Medina, OH 44256 · 3307217001

Health inspection rating 4/5 · CMS overall 5/5· Fines (3y): $0

Questions for the administrator:

☐ "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "How do you handle COVID-19 vaccination for residents and staff, and what happens during an outbreak?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "How do you assess and manage residents' pain, especially for those who have trouble communicating?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 366407 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)