Avenue Care and Rehabilitation Center, the

4120 Interchange Corporate Center Road · Warrensville Heights, OH · 44128 · 2168969900

97 certified beds For profit - Limited Liability company Chain: Progressive Quality Care

Why this verdict

  • Inspection record is far worse than the national median (deficiency count and severity).
  • Inspection results are getting worse cycle over cycle, not better.

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Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.

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Red flags

1 immediate-jeopardy citation in prior inspection cycles

Serious past findings — check whether the underlying problems were fixed and stayed fixed.

Cited under the freedom-from-abuse rule

Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.

65% of nursing staff left within a year

High turnover disrupts continuity of care; the national median is 45%.

Score breakdown

Inspection record 30% of score 29
Serious harm & abuse 20% 82
Staffing 20% 70
Federal penalties 15% 56
Trend 10% 46
Context 5% 100

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

CMS ratings & staffing

Overall: 1 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day3.813.48 min · 4.1 strong
RN hours / resident-day0.770.55–0.75
Weekend hours / resident-day3.35≈ weekday level
Nursing turnover / year65%median 45%
Fines (3-yr window)2 · $34,146

Inspection citations (53 in the current record)

  • Potential for harm · D December 18, 2025 · found via complaint

    Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

    Corrected December 19, 2025 · Quality of Life and Care

  • Potential for harm · F December 18, 2025 · found via complaint

    Employ staff that are licensed, certified, or registered in accordance with state laws.

    Corrected December 19, 2025 · Administration

  • Potential for harm · D October 29, 2025 · found via complaint

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected December 18, 2025 · Resident Rights

  • Potential for harm · E October 29, 2025 · found via complaint

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

    Corrected December 18, 2025 · Quality of Life and Care

  • Potential for harm · E October 29, 2025 · found via complaint

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Corrected December 18, 2025 · Nursing and Physician Services

  • Potential for harm · E October 29, 2025 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected December 18, 2025 · Infection Control

  • Potential for harm · D October 6, 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 December 18, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D August 13, 2025

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Corrected December 18, 2025 · Resident Rights

  • Potential for harm · D August 13, 2025

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    Corrected December 18, 2025 · Resident Rights

  • Potential for harm · D August 13, 2025

    Assess the resident when there is a significant change in condition

    Corrected December 18, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D August 13, 2025

    Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.

    Corrected December 18, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D August 13, 2025

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Corrected December 18, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E August 13, 2025

    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 18, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D August 13, 2025

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

    Corrected December 18, 2025 · Quality of Life and Care

  • Potential for harm · D August 13, 2025

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected December 18, 2025 · Quality of Life and Care

  • Potential for harm · D August 13, 2025

    Provide and implement an infection prevention and control program.

    Corrected December 18, 2025 · Infection Control

  • Potential for harm · D August 13, 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 December 18, 2025 · Infection Control

  • Potential for harm · D August 13, 2025

    Keep all essential equipment working safely.

    Corrected December 18, 2025 · Environmental

  • Potential for harm · D August 13, 2025 · found via complaint

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected December 18, 2025 · Resident Rights

  • Potential for harm · D August 13, 2025 · found via complaint

    Reasonably accommodate the needs and preferences of each resident.

    Corrected December 18, 2025 · Resident Rights

  • Potential for harm · D August 13, 2025 · found via complaint

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected December 18, 2025 · Resident Rights

  • Potential for harm · D August 13, 2025 · found via complaint

    Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

    Corrected December 18, 2025 · Resident Rights

  • Potential for harm · D August 13, 2025 · found via complaint

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

    Corrected December 18, 2025 · Quality of Life and Care

  • Potential for harm · D August 13, 2025 · found via complaint

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

    Corrected December 18, 2025 · Quality of Life and Care

  • Potential for harm · D August 13, 2025 · found via complaint

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

    Corrected December 18, 2025 · Quality of Life and Care

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

Federal penalties

DateTypeAmount / length
January 10, 2025Fine$17,345
April 25, 2024Fine$16,801

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 366394 · certified since October 18, 2010. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.