Nursing homeActive

Avenue At Medina

699 East Smith Road, Medina, OH 44256330721700170 certified beds · 62 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
6
since 2019
Deficiencies
23
0230
Penalties · 3 yrs
none on file
Last survey
2026-02-18
Standard
CMS overall
5 / 5
stars as published by CMS
CMS overall 5/5
Health 4
Staffing 2
Quality 5
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · Ohio Department of Health · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2026-02-18Standard040CMS-2567 (Care Compare)
2024-12-03Complaint030CMS-2567 (Care Compare)
2024-07-25Complaint020CMS-2567 (Care Compare)
2024-01-26Complaint060CMS-2567 (Care Compare)
2022-11-23Standard060CMS-2567 (Care Compare)
2019-12-28Standard020CMS-2567 (Care Compare)

Counts by class: paperwork · standard · harm.

Deficiencies

CMS · Ohio Department of Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.

2026-02-18Standard survey · 4 deficienciesOfficial report
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-04Record 366407-20260218-F641
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-03-04Record 366407-20260218-F658
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-04Record 366407-20260218-F684
F887Educate 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.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-04Record 366407-20260218-F887
2024-12-03Complaint survey · 3 deficienciesOfficial report
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-20Record 366407-20241203-F689
F697Provide safe, appropriate pain management for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-20Record 366407-20241203-F697
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-20Record 366407-20241203-F880
2024-07-25Complaint survey · 2 deficienciesOfficial report
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-15Record 366407-20240725-F686
F807Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-15Record 366407-20240725-F807
2024-01-26Complaint survey · 6 deficienciesOfficial report
F565Honor the resident's right to organize and participate in resident/family groups in the facility.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-02-15Record 366407-20240126-F565
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-02-15Record 366407-20240126-F580
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-02-15Record 366407-20240126-F684
F694Provide for the safe, appropriate administration of IV fluids for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-02-15Record 366407-20240126-F694
F697Provide safe, appropriate pain management for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-02-15Record 366407-20240126-F697
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-02-15Record 366407-20240126-F880
2022-11-23Standard survey · 6 deficienciesOfficial report
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-12-23Record 366407-20221123-F656
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-12-23Record 366407-20221123-F657
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-12-23Record 366407-20221123-F690
F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-12-23Record 366407-20221123-F761
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-12-23Record 366407-20221123-F812
F880Provide and implement an infection prevention and control program.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2022-12-23Record 366407-20221123-F880
2019-12-28Standard survey · 2 deficienciesOfficial report
F679Provide activities to meet all resident's needs.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2020-01-28Record 366407-20191228-F679
F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2020-01-28Record 366407-20191228-F761

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.63
Facility
Ohio
National
Ohio 0.64 · National 0.69
Total nurse hours per resident day3.67
Facility
Ohio
National
Ohio 3.69 · National 3.86
Weekend total nurse hours3.33
Facility
Ohio
National
Ohio 3.28 · National 3.42
Total nursing staff turnover50%
Facility
Ohio
National
Ohio 49% · National 46%
Registered nurse turnover36%
Facility
Ohio
National
Ohio 44% · National 43%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityOhioNational
Percentage of long-stay residents with pressure ulcers
lower is better
1.7%3.4%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
3.6%3.2%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
15.8%8.8%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
0.6%0.4%1.6%
Percentage of long-stay residents who were physically restrained
lower is better
0.0%0.1%0.1%
Percentage of long-stay residents whose need for help with daily activities has increased
lower is better
4.3%5.3%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
4.0%6.2%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
33.6%25.5%19.5%

Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.

Ownership

As reported to CMS (Provider Enrollment)
EntityRoleInterestSinceRegistry
Flank, Eitan
Individual
5% OR GREATER DIRECT OWNERSHIP INTEREST20%
Flank, Liat
Individual
5% OR GREATER DIRECT OWNERSHIP INTEREST20%
Flank, Matan
Individual
5% OR GREATER DIRECT OWNERSHIP INTEREST20%
Flank, Shaul
Individual
5% OR GREATER DIRECT OWNERSHIP INTEREST20%
Sausen, Joel
Individual
5% OR GREATER DIRECT OWNERSHIP INTEREST20%
Jain, Sushil
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Nedolast, Sidney
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Progressive Quality Care Inc
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Flank, Eitan
Individual
CORPORATE OFFICERNOT APPLICABLE
Flank, Eitan
Individual
ADP OF THE SNFNOT APPLICABLE
Flank, Liat
Individual
ADP OF THE SNFNOT APPLICABLE
Flank, Liat
Individual
CORPORATE OFFICERNOT APPLICABLE
Flank, Matan
Individual
ADP OF THE SNFNOT APPLICABLE
Flank, Matan
Individual
CORPORATE OFFICERNOT APPLICABLE
Flank, Shaul
Individual
ADP OF THE SNFNOT APPLICABLE
Flank, Shaul
Individual
CORPORATE OFFICERNOT APPLICABLE
Jain, Sushil
Individual
ADP OF THE SNFNOT APPLICABLE
Nedolast, Sidney
Individual
ADP OF THE SNFNOT APPLICABLE
Progressive Quality Care Inc
Organization
ADP OF THE SNFNOT APPLICABLE
Sausen, Joel
Individual
CORPORATE OFFICERNOT APPLICABLE
Sausen, Joel
Individual
ADP OF THE SNFNOT APPLICABLE
Shiller, Daniel
Individual
ADP OF THE SNFNOT APPLICABLE
Shiller, Daniel
Individual
CORPORATE OFFICERNOT APPLICABLE
Part of a chain
Progressive Quality Care11 facilities
View chain record

Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.

Cost context

County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Ohio.

No county cost figures on file for Medina.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Samaritan Care Center And Villa
Medina
0.2 mi2026-02-120100
Medina Center For Rehabilitation And Nursing
Medina
0.3 mi2025-08-143744
Medina Bsd Opco LLC
Medina
1.3 mi2026-06-020172
Champion Creek Health And Rehabilitation
Medina
2.0 mi2025-08-04000
Western Reserve Masonic Comm
Medina
2.6 mi2026-04-09030
Watch this facility

One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.

Sources & provenance

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01