Avenue at Wooster
1700 East Smithville Western Road, Wooster, OH 44691 · Wayne County · 82 certified beds · avg 78 residents/day · certified since Apr 6, 2018
Part of chain: PROGRESSIVE QUALITY CARE (11 facilities, chain avg rating 2.7★)
2/5
Health inspection rating (on-site)
1
Serious findings on record
$0
Fines, last 3 years
2.91
Nurse hours/resident/day (adjusted)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 3/5
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 · Oct 22, 2024 · F-0686 · triggered by a complaint
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 7, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (33)
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 |
|---|---|---|
| May 19, 2026 | 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 |
| Mar 5, 2026 | 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 |
| Mar 5, 2026 | 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 |
| Mar 5, 2026 | 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 |
| Mar 20, 2025 | 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. |
| Mar 20, 2025 | E · Potential for harm, repeated | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
| Mar 20, 2025 | 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 |
| Mar 20, 2025 | D · Potential for harm, one-off | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint |
| Mar 20, 2025 | 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. |
| Mar 20, 2025 | 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. |
| Mar 20, 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 |
| Mar 20, 2025 | D · Potential for harm, one-off | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. |
| Mar 20, 2025 | D · Potential for harm, one-off | The facility did not provide special eating equipment and utensils — like adaptive cups or easy-grip silverware — for residents who need them, along with appropriate help at meals. |
| Mar 20, 2025 | D · Potential for harm, one-off | The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective. |
| Oct 22, 2024 | ▲ 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. · from a complaint |
| Oct 22, 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 23, 2024 | 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. · from a complaint |
| Mar 14, 2024 | 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. · from a complaint |
| Mar 14, 2024 | 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 |
| Mar 14, 2024 | D · Potential for harm, one-off | The facility did not provide or obtain laboratory tests when a doctor ordered them, or did not promptly report the results back to the doctor who ordered them. · from a complaint |
| Dec 27, 2022 | F · Potential for harm, facility-wide | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| Dec 27, 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. |
| Dec 27, 2022 | E · Potential for harm, repeated | The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. |
| Dec 27, 2022 | E · Potential for harm, repeated | The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. |
| Dec 27, 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. |
| Dec 27, 2022 | E · Potential for harm, repeated | The facility did not provide each resident with a nourishing, tasty, well-balanced diet that meets their daily nutritional and special dietary needs. |
| Dec 27, 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. |
| Dec 27, 2022 | D · Potential for harm, one-off | The facility did not serve meals and snacks at times that fit residents' needs, preferences, and requests, or did not offer nourishing alternatives for residents who want to eat outside scheduled meal times. |
| Feb 20, 2020 | 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 20, 2020 | 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 20, 2020 | 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. |
| Feb 20, 2020 | 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. |
| Feb 20, 2020 | D · Potential for harm, one-off | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. |
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 |
|---|---|---|---|
| 2020 | 5 | 0 | F |
| 2022 | 8 | 0 | F |
| 2024 | 6 | 1 | G ▲ |
| 2025 | 10 | 0 | F |
| 2026 | 4 | 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) | 2.91 | 3.45 | 3.95 | bottom 17% in Ohio; bottom 11% in the U.S. |
| Registered Nurse hours | 0.33 | 0.60 | 0.69 | bottom 9% in Ohio; bottom 13% in the U.S. |
| Weekend total nurse staffing | 2.45 | 3.07 | 3.50 | bottom 10% in Ohio; bottom 8% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.21 | 0.42 | 0.48 | bottom 10% in Ohio; bottom 14% in the U.S. |
| Total nursing staff turnover (%) | 35.8 | 48.7 | 45.8 | top 17% in Ohio; top 26% in the U.S. |
| RN turnover (%) | 22.2 | 43.9 | 42.9 | top 16% in Ohio; top 17% 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 3.28, RN 0.38, weekend 2.76. 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: 4/5
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 | 06/25/2015 |
| Flank, Eitan | Individual | ADP of the SNF | NOT APPLICABLE | 10/30/2017 |
| Flank, Liat | Individual | Corporate Officer | NOT APPLICABLE | 06/25/2015 |
| Flank, Liat | Individual | ADP of the SNF | NOT APPLICABLE | 06/10/2022 |
| Flank, Matan | Individual | Corporate Officer | NOT APPLICABLE | 06/25/2015 |
| Flank, Matan | Individual | ADP of the SNF | NOT APPLICABLE | 06/10/2022 |
| Flank, Shaul | Individual | Corporate Officer | NOT APPLICABLE | 06/25/2015 |
| Flank, Shaul | Individual | ADP of the SNF | NOT APPLICABLE | 06/10/2022 |
| Giauque, Chad | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/13/2022 |
| Giauque, Chad | Individual | ADP of the SNF | NOT APPLICABLE | 06/13/2022 |
| Nielsen, Paul | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/15/2018 |
| Nielsen, Paul | Individual | ADP of the SNF | NOT APPLICABLE | 02/15/2018 |
| Progressive Quality Care INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/2018 |
| Progressive Quality Care INC | Organization | ADP of the SNF | NOT APPLICABLE | 03/17/2025 |
| Sausen, Joel | Individual | Corporate Officer | NOT APPLICABLE | 06/25/2015 |
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 prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "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 falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
- "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 |
|---|---|---|---|---|---|
| Smithville Western Care Center | 1.6 mi | Wooster, OH | ★★☆☆☆ | 2/5 | |
| Wooster Community Hospital SNF | 2.6 mi | Wooster, OH | ★★★★★ | 5/5 | |
| West View Healthy Living | 3.3 mi | Wooster, OH | ★★★★☆ | 4/5 | |
| Glendora Health Care Center | 3.8 mi | Wooster, OH | ★☆☆☆☆ | 1/5 | |
| Wayne County Care Center | 5.2 mi | Wooster, OH | ★★★★★ | 4/5 | |
| Accord Care Community Orrville LLC | 7.1 mi | Orrville, OH | ★★☆☆☆ | 2/5 | |
| Orrville Pointe | 7.5 mi | Orrville, OH | ★★☆☆☆ | 1/5 | |
| Apostolic Christian Home INC | 9.0 mi | Rittman, OH | ★★★★★ | 4/5 | |
| Country Pointe | 9.2 mi | Wooster, OH | ★★★★★ | 5/5 | |
| Burbank Parke Care Center | 9.3 mi | Burbank, OH | ★★★★☆ | 3/5 | |
| Autumnwood Nursing & Rehab Center | 11.8 mi | Rittman, OH | ★★☆☆☆ | 1/5 | |
| Shady Lawn Nursing Home | 12.9 mi | Dalton, OH | ★★☆☆☆ | 1/5 | abuse |
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Facility data as of CMS processing date 2026-08-01. CCN 366463.