Avenue at North Ridgeville
6200 Lear Nagle Road, North Ridgeville, OH 44039 · Lorain County · 103 certified beds · avg 97 residents/day · certified since Jun 17, 2020
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: ★☆☆☆☆1/5 · CMS overall rating: 2/5
⚠ The most recent standard health inspection was more than 2 years ago — conditions may have changed.
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)
▲ Immediate jeopardy, one-off · Feb 15, 2024 · 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 (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Sep 21, 2023 (Past Non-Compliance)
▲ Actual harm, one-off · Jun 29, 2026 · 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: Jul 21, 2026 (Deficient, Provider has plan of correction)
▲ Actual harm, one-off · Apr 9, 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: May 13, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (39)
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 |
|---|---|---|
| Jun 29, 2026 | ▲ 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 |
| Jun 29, 2026 | 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 |
| Jun 29, 2026 | F · Potential for harm, facility-wide | The facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents. · from a complaint |
| Jun 29, 2026 | D · Potential for harm, one-off | The facility did not allow people with a legal right to see a resident — such as family, doctors, or ombudsmen — to have immediate access to that resident. · from a complaint |
| Jun 29, 2026 | 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. · from a complaint |
| Jun 29, 2026 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint |
| Dec 17, 2025 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint |
| Dec 17, 2025 | E · Potential for harm, repeated | 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 |
| Dec 17, 2025 | 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 |
| Dec 17, 2025 | 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 |
| Dec 17, 2025 | 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. · from a complaint |
| Dec 17, 2025 | D · Potential for harm, one-off | The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. · from a complaint |
| Dec 17, 2025 | 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 4, 2024 | C · Minimal risk, facility-wide | The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. · from a complaint |
| May 10, 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 10, 2024 | 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 |
| Apr 9, 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 |
| Apr 9, 2024 | E · Potential for harm, repeated | 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 |
| Apr 9, 2024 | D · Potential for harm, one-off | The facility did not reassess a resident after a significant change in their condition, such as a sudden decline in health. A full new assessment is required when a resident's condition changes in a major way. · from a complaint |
| Apr 9, 2024 | D · Potential for harm, one-off | The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. · from a complaint |
| Apr 9, 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 |
| Apr 9, 2024 | 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. · from a complaint |
| Feb 15, 2024 | ▲ J · Immediate jeopardy, 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 15, 2024 | F · Potential for harm, facility-wide | The facility did not verify that its nurse aides had completed their required training, or did not retrain aides who had been out of nurse aide work for 2 years. · from a complaint |
| Nov 28, 2023 | 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 |
| Nov 28, 2023 | 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 |
| Oct 17, 2023 | 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 |
| Sep 18, 2023 | 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 |
| Sep 18, 2023 | D · Potential for harm, one-off | The facility did not provide or obtain x-rays and other imaging tests when ordered, or did not promptly tell the ordering doctor the results. · from a complaint |
| Feb 22, 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. |
| Feb 22, 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. |
| Feb 22, 2023 | D · Potential for harm, one-off | The facility did not let a resident or their legal representative see or buy copies of the resident's own records. |
| Feb 22, 2023 | 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. |
| Feb 22, 2023 | D · Potential for harm, one-off | The facility allowed residents to lose the ability to do daily activities — like bathing, dressing, and eating — when there was no medical reason for the decline. Good care helps residents keep the abilities they have. |
| Feb 22, 2023 | 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 22, 2023 | 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 22, 2023 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Feb 22, 2023 | 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. |
| Feb 22, 2023 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 15 | 0 | F |
| 2024 | 11 | 2 | J ▲ |
| 2025 | 7 | 0 | E |
| 2026 | 6 | 1 | G ▲ |
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)
2 fines totaling $68,390, plus 1 Medicare payment denial period.
| Date | Type | Amount / length |
|---|---|---|
| Apr 9, 2024 | Fine | $58,351 |
| Apr 9, 2024 | Payment Denial | 10 days from May 3, 2024 |
| Feb 15, 2024 | Fine | $10,039 |
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) | 3.09 | 3.45 | 3.95 | bottom 32% in Ohio; bottom 17% in the U.S. |
| Registered Nurse hours | 0.49 | 0.60 | 0.69 | bottom 38% in Ohio; bottom 36% in the U.S. |
| Weekend total nurse staffing | 2.85 | 3.07 | 3.50 | bottom 42% in Ohio; bottom 23% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.37 | 0.42 | 0.48 | bottom 46% in Ohio; bottom 46% in the U.S. |
| Total nursing staff turnover (%) | 46.7 | 48.7 | 45.8 | top 45% in Ohio; bottom 45% in the U.S. |
| RN turnover (%) | 38.9 | 43.9 | 42.9 | top 42% in Ohio; top 45% 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 3.69, RN 0.59, weekend 3.41. 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 |
|---|---|---|---|---|
| Colonna, Julian | Individual | 5% or Greater Indirect Ownership Interest | 25% | 06/21/2018 |
| Colonna, Vito | Individual | 5% or Greater Indirect Ownership Interest | 25% | 06/21/2018 |
| Flank, Eitan | Individual | 5% or Greater Indirect Ownership Interest | 8% | 06/21/2018 |
| Flank, Liat | Individual | 5% or Greater Indirect Ownership Interest | 8% | 06/21/2018 |
| Flank, Matan | Individual | 5% or Greater Indirect Ownership Interest | 8% | 06/21/2018 |
| Flank, Shaul | Individual | 5% or Greater Indirect Ownership Interest | 8% | 06/21/2018 |
| Mike Flank Trust | Organization | 5% or Greater Indirect Ownership Interest | 13% | 09/09/2022 |
| Progressive North Ridgeville Partners, LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 06/21/2018 |
| Sausen, Joel | Individual | 5% or Greater Indirect Ownership Interest | 8% | 06/21/2018 |
| Bhimani, Jayantilal | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/08/2020 |
| Bhimani, Jayantilal | Individual | ADP of the SNF | NOT APPLICABLE | 07/08/2020 |
| Colonna, Julian | Individual | Corporate Officer | NOT APPLICABLE | 06/15/2018 |
| Colonna, Vito | Individual | Corporate Officer | NOT APPLICABLE | 06/15/2018 |
| Dorsey, Kathryn | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/09/2025 |
| Dorsey, Kathryn | Individual | ADP of the SNF | NOT APPLICABLE | 01/09/2025 |
| Flank, Eitan | Individual | Corporate Officer | NOT APPLICABLE | 06/15/2018 |
| Flank, Eitan | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/15/2018 |
| Flank, Eitan | Individual | ADP of the SNF | NOT APPLICABLE | 06/15/2018 |
| Flank, Liat | Individual | Corporate Officer | NOT APPLICABLE | 06/15/2018 |
| Flank, Matan | Individual | Corporate Officer | NOT APPLICABLE | 06/15/2018 |
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 make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "What is your nurse and aide staffing ratio on each shift, including nights and weekends?"
- "What were the findings behind this administration citation, and what has leadership changed since?"
- "What are your visiting policies, and under what circumstances would you ever restrict my access to my family member?"
- "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "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 |
|---|---|---|---|---|---|
| Northridge Rehabilitation and Care Center | 1.6 mi | North Ridgeville, OH | ★★☆☆☆ | 1/5 | |
| Crocker Pointe Health and Rehabilitation | 3.1 mi | Westlake, OH | —/5 | ||
| Joshua Tree Care Center | 3.5 mi | North Olmsted, OH | ★★★★☆ | 4/5 | |
| O'Neill Healthcare North Ridgeville | 3.6 mi | North Ridgeville, OH | ★★★★★ | 5/5 | |
| Brookdale Westlake Village | 3.7 mi | Westlake, OH | ★★★★★ | 4/5 | |
| Avon Place Healthcare Center | 3.7 mi | Avon, OH | ★★☆☆☆ | 3/5 | |
| Health Center at the Renaissance | 3.9 mi | Olmsted TWP, OH | ★★★★☆ | 4/5 | |
| St Mary of the Woods | 4.1 mi | Avon, OH | ★★★★☆ | 4/5 | |
| Avon Oaks Nursing Home | 4.4 mi | Avon, OH | ★★★★★ | 4/5 | |
| Village of the Falls | 4.6 mi | Olmsted Falls, OH | ★★★★★ | 4/5 | |
| Rae Ann Suburban | 4.9 mi | Westlake, OH | ★★☆☆☆ | 1/5 | |
| Woods on French Creek Nursing & Rehab Center the | 5.0 mi | Avon, OH | ★★★★☆ | 3/5 |
Compare this facility with the 3 closest →
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Facility data as of CMS processing date 2026-08-01. CCN 366477.