Avenue at Macedonia

9730 Valley View Road · Macedonia, OH · 44056 · 3307488800

98 certified beds For profit - Corporation Chain: Progressive Quality Care

  • Inspection results have improved across recent cycles.

Red flags

Cited under the freedom-from-abuse rule

Cited 2 times under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.

Medicare/Medicaid payments were denied

CMS refused payment for new admissions for a period — one of its strongest enforcement tools.

Score breakdown

Inspection record 30% of score 46
Serious harm & abuse 20% 88
Staffing 20% 64
Federal penalties 15% 53
Trend 10% 78
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 2 of 5 Inspections: 2 of 5 Staffing: 2 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day3.443.48 min · 4.1 strong
RN hours / resident-day0.600.55–0.75
Weekend hours / resident-day3.12≈ weekday level
Nursing turnover / year54%median 45%
Fines (3-yr window)1 · $23,140

Inspection citations (35 in the current record)

  • Potential for harm · D February 27, 2025

    Reasonably accommodate the needs and preferences of each resident.

    Corrected April 10, 2025 · Resident Rights

  • Potential for harm · D February 27, 2025

    Ensure each resident receives an accurate assessment.

    Corrected April 7, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D February 27, 2025

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected April 7, 2025 · Quality of Life and Care

  • Potential for harm · D February 27, 2025

    Assist a resident in gaining access to vision and hearing services.

    Corrected April 7, 2025 · Quality of Life and Care

  • Potential for harm · D February 27, 2025

    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

    Corrected April 7, 2025 · Quality of Life and Care

  • Potential for harm · E February 27, 2025

    Provide and implement an infection prevention and control program.

    Corrected April 7, 2025 · Infection Control

  • Potential for harm · E February 27, 2025

    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

    Corrected April 7, 2025 · Infection Control

  • Potential for harm · D February 27, 2025 · found via complaint

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Corrected April 7, 2025 · Resident Rights

  • Potential for harm · D February 27, 2025 · found via complaint

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected April 7, 2025 · Quality of Life and Care

  • Potential for harm · D February 27, 2025 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected April 7, 2025 · Quality of Life and Care

  • No harm found · C February 27, 2025

    Ensure the activities program is directed by a qualified professional.

    Corrected April 7, 2025 · Quality of Life and Care

  • Potential for harm · D January 22, 2025 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected February 3, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Actual harm · G November 14, 2024 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected December 3, 2024 · Quality of Life and Care

  • Potential for harm · D November 14, 2024 · found via complaint

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected December 3, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D July 29, 2024 · found via complaint

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected August 16, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D July 29, 2024 · found via complaint

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected August 16, 2024 · Quality of Life and Care

  • Potential for harm · D February 13, 2024 · found via complaint

    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

    Corrected February 16, 2024 · Resident Rights

  • Potential for harm · D January 4, 2024 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected January 17, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D January 4, 2024 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected January 17, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D January 4, 2024 · found via complaint

    Ensure medication error rates are not 5 percent or greater.

    Corrected January 17, 2024 · Pharmacy Service

  • Potential for harm · D January 4, 2024 · found via complaint

    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

    Corrected January 17, 2024 · Nutrition and Dietary

  • Potential for harm · E October 12, 2023 · found via complaint

    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

    Corrected October 13, 2023 · Nutrition and Dietary

  • Potential for harm · D June 1, 2023 · found via complaint

    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

    Corrected June 12, 2023 · Quality of Life and Care

  • Actual harm · G October 24, 2022

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected November 15, 2022 · Quality of Life and Care

  • Potential for harm · D October 24, 2022

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected November 15, 2022 · Quality of Life and Care

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
February 27, 2025Payment Denial4 days
November 14, 2024Fine$23,140

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 366454 · certified since August 14, 2017. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.