How to file a complaint about care →
No fines or payment denials in the published 3-year window.
Avenue at Medina
699 East Smith Road, Medina, OH 44256 (opens Google Maps) · Medina County · (330) 721-7001· 70 certified beds · avg 62 residents/day · certified since Jun 20, 2013 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: PROGRESSIVE QUALITY CARE (11 facilities, chain avg rating 2.7★)
4/5
Health inspection rating (on-site)
inspected Feb 18, 2026
0
Serious findings on record
$0
Fines, last 3 years
3.13
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5 · how star ratings work →
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 quality measures from resident assessments and claims.
Inspection findings in the public record
Showing the latest 3 of 23 inspection findings. Open the full record below to read every finding.
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 F-0658
The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. F-0641
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. F-0684
View all 23 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Feb 18, 2026 | E · Potential for more than minimal harm, pattern | 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 · F-0658 |
| Feb 18, 2026 | D · Potential for more than minimal harm, isolated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641 |
| Feb 18, 2026 | D · Potential for more than minimal harm, isolated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684 |
| Feb 18, 2026 | D · Potential for more than minimal harm, isolated | 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. · F-0887 |
| Dec 3, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0689 |
| Dec 3, 2024 | D · Potential for more than minimal harm, isolated | The facility did not provide safe and appropriate pain management for a resident who needed it. · from a complaint · F-0697 |
| Dec 3, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0880 |
| Jul 25, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0686 |
| Jul 25, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0807 |
| Jan 26, 2024 | E · Potential for more than minimal harm, pattern | 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 · F-0684 |
| Jan 26, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0565 |
| Jan 26, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0580 |
| Jan 26, 2024 | D · Potential for more than minimal harm, isolated | The facility did not safely and appropriately administer IV fluids (fluids given through a vein) for residents who needed them. · from a complaint · F-0694 |
| Jan 26, 2024 | D · Potential for more than minimal harm, isolated | The facility did not provide safe and appropriate pain management for a resident who needed it. · from a complaint · F-0697 |
| Jan 26, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0880 |
| Nov 23, 2022 | F · Potential for more than minimal harm, widespread | 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. · F-0880 |
| Nov 23, 2022 | E · Potential for more than minimal harm, pattern | 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. · F-0761 |
| Nov 23, 2022 | E · Potential for more than minimal harm, pattern | 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. · F-0812 |
| Nov 23, 2022 | D · Potential for more than minimal harm, isolated | 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. · F-0656 |
| Nov 23, 2022 | D · Potential for more than minimal harm, isolated | 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. · F-0657 |
| Nov 23, 2022 | D · Potential for more than minimal harm, isolated | 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. · F-0690 |
| Dec 28, 2019 | D · Potential for more than minimal harm, isolated | The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. · F-0679 |
| Dec 28, 2019 | D · Potential for more than minimal harm, isolated | 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. · F-0761 |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (6 → 4).
All citationsSerious citations (G–L)
2019
All citations: 2
Serious citations (G–L): 0
2022
All citations: 6
Serious citations (G–L): 0
2024
All citations: 11
Serious citations (G–L): 0
2026
All citations: 4
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 2 | 0 | D |
| 2022 | 6 | 0 | F |
| 2024 | 11 | 0 | E |
| 2026 | 4 | 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)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityOhio averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.13
Ohio average: 3.45
U.S. average: 3.95
Registered Nurse hours
This facility: 0.54
Ohio average: 0.60
U.S. average: 0.69
Weekend total nurse staffing
This facility: 2.84
Ohio average: 3.07
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| 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 for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.67 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 2/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Avenue at Medina. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
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 |
Showing 20 of 23 parties CMS has on file for this facility; 3 are not displayed. The full list is in the CMS Ownership dataset.
Other facilities in the same chain
CMS lists this facility under the chain Progressive Quality Care — 11 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
- Avenue at North Ridgeville — North Ridgeville, OH · overall 2/5
- Avenue at Wooster — Wooster, OH · overall 3/5
- Avenue Care and Rehabilitation Center, the — Warrensville Heights, OH · overall 1/5
- Parma Care Center — Parma, OH · overall 3/5
- Strongsville Healthcare and Rehabilitation — Strongsville, OH · overall 3/5
- Avenue at Aurora — Aurora, OH · overall 5/5
- Avenue at Broadview Heights — Broadview Heights, OH · overall 3/5
- Avenue at Brooklyn — Brooklyn, OH · overall 1/5
Listed by state, then facility name — not a ranking. Showing 8 of the 10 others, continuing from this facility's own place in that list.
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?"
Also worth asking anywhere
- "Your weekend nurse staffing is reported below the Ohio midpoint — how does the weekend schedule differ from a weekday?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 50% total nursing staff turnover here — who on the care team has been with you longest?"
- "The ownership record on file lists 23 owning or managing parties — who makes the decisions about staffing levels?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
Nearby facilities (12 closest of 77 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 →
Other facilities in the same county
CMS records place this facility in Medina, OH — 13 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.
- Sanctuary Wadsworth — Wadsworth, OH · overall 5/5
Listed by facility name — not a ranking. Homes already in the table above are not repeated here.
Facility data as of CMS processing date 2026-08-01. CCN 366407.
This page is the printable visit checklist. If your browser did not open the print dialog automatically, use File → Print (Ctrl/⌘-P).