Overview

Address
4120 INTERCHANGE CORPORATE CENTER ROAD, WARRENSVILLE HEIGHTS, OH 44128
Phone
2168969900
Certified beds
97
Avg daily residents
89 (91% of beds filled)
Ownership
For-profit LLC
Provider type
Medicare and Medicaid
Medicare/Medicaid since
2010-10-18
Setting
Urban
1 /5
CMS Overall Rating

CMS 5-Star Ratings

CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.

Overall Rating
Composite of Health Inspection, Staffing, and Quality Measures.
1/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
1/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
1/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
4/5
Quality Measures breakdown
Long-Stay Quality Measures 5/5
Short-Stay Quality Measures 2/5

Staffing & Workforce

Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.

Role Reported Case-mix expected Adjusted Federal floor
Total nurse
All nursing staff combined: RN + LPN + Aide
3.34 4.79 2.70 ≥ 3.48 Below floor
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
0.42 0.84 0.34 ≥ 0.55 Below floor
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
1.03 1.06 0.83
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
1.89 2.89 1.52
Licensed (RN + LPN)
Combined licensed nurse coverage.
1.45
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
0.01

Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.

Weekend staffing

Total nurse (weekend)
2.79
hrs / resident / day
RN (weekend)
0.22
hrs / resident / day
Total nurse (adjusted, weekend)
2.25
hrs / resident / day

Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.

Staff turnover

Total nursing staff turnover
61.9%
annual
RN turnover
53.8%
annual
Administrators departed
1
last 12 months

Resident acuity

Nursing Case-Mix Index
1.70
higher acuity than avg
Case-Mix Index Ratio
1.23
facility / state ratio

Health Inspections

CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.

Cycle Date Total defs. Standard Complaint Deficiency score Revisits Total score
Cycle 1 (most recent) 2025-08-13 33 26 21 188 1 188
Cycle 2/3 (prior) 2023-05-24 17 8 10 132 1 132
Total weighted health score
174.0
lower is better
Infection-control citations
0
last cycle

Deficiencies (53)

Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).

1 A/B/C No actual harm — minor
49 D/E/F Actual harm — potential for minor
2 G/H/I Actual harm
1 J/K/L Immediate jeopardy
Tag Description Scope/Severity Survey date Corrected
0691 Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. D 2025-12-18 2025-12-19
0839 Employ staff that are licensed, certified, or registered in accordance with state laws. F 2025-12-18 2025-12-19
0580 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. D 2025-10-29 2025-12-18
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. E 2025-10-29 2025-12-18
0725 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. E 2025-10-29 2025-12-18
0880 Provide and implement an infection prevention and control program. E 2025-10-29 2025-12-18
0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. D 2025-10-06 2025-12-18
0582 Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. D 2025-08-13 2025-12-18
0628 Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. D 2025-08-13 2025-12-18
0637 Assess the resident when there is a significant change in condition D 2025-08-13 2025-12-18
0646 Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. D 2025-08-13 2025-12-18
0655 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted D 2025-08-13 2025-12-18
0657 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. E 2025-08-13 2025-12-18
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2025-08-13 2025-12-18
0695 Provide safe and appropriate respiratory care for a resident when needed. D 2025-08-13 2025-12-18
0732 Post nurse staffing information every day. C 2025-08-13 2025-12-18
0880 Provide and implement an infection prevention and control program. D 2025-08-13 2025-12-18
0887 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. D 2025-08-13 2025-12-18
0908 Keep all essential equipment working safely. D 2025-08-13 2025-12-18
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. D 2025-08-13 2025-12-18
0558 Reasonably accommodate the needs and preferences of each resident. D 2025-08-13 2025-12-18
0580 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. D 2025-08-13 2025-12-18
0627 Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. D 2025-08-13 2025-12-18
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. D 2025-08-13 2025-12-18
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. D 2025-08-13 2025-12-18
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. D 2025-08-13 2025-12-18
0690 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. D 2025-08-13 2025-12-18
0727 Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. F 2025-08-13 2025-12-18
0760 Ensure that residents are free from significant medication errors. D 2025-08-13 2025-12-18
0773 Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. D 2025-08-13 2025-12-18
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. E 2025-08-13 2025-12-18
0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. E 2025-08-13 2025-12-18
0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. F 2025-08-13 2025-12-18
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. D 2025-01-10 2025-01-31
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. J 2025-01-10 2024-12-29
0558 Reasonably accommodate the needs and preferences of each resident. E 2024-07-10 2024-07-30
0690 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. D 2024-07-10 2024-07-30
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. G 2024-04-25 2024-05-10
0760 Ensure that residents are free from significant medication errors. D 2024-04-25 2024-05-10
0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. D 2023-11-21 2023-12-07
0760 Ensure that residents are free from significant medication errors. G 2023-11-21 2023-12-07
0626 Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. D 2023-09-07 2023-09-19
0641 Ensure each resident receives an accurate assessment. D 2023-05-24 2023-06-30
0655 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted D 2023-05-24 2023-06-30
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2023-05-24 2023-06-30
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. D 2023-05-24 2023-06-30
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. D 2023-05-24 2023-06-30
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F 2023-05-24 2023-06-30
0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. D 2023-05-24 2023-06-30
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. D 2023-05-24 2023-06-30

Showing 50 most recent of 53. See the All Data CSV for the full list.

Penalties (2)

Fines issued
2
last 3 years
Total fines
$34,146
Date Type Fine amount
2024-04-25 Fine $16,801
2025-01-10 Fine $17,345

Source: CMS Nursing Home Penalties.

Financial Health (FY 2023)

Payer mix (share of resident days)

Medicare 4.9% Medicaid 28.8% Other 66.4%

Operating performance

Operating Margin
-8.1%
Total Margin
-8.1%
Occupancy Rate
84.5%
Cost per Resident Day
$36

Revenue & costs

Net Patient Revenue
$9.7M
Total Costs
$1.1M
Net Income
-$786K

Balance sheet

Total Assets
$12.6M
Total Liabilities
$11.1M
Fund Balance
$1.5M
Current Ratio
0.89

Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.

Ownership & Corporate Structure

Chain: PROGRESSIVE QUALITY CARE

Chain ID
427
Facilities in chain
11
Legal business name
PROGRESSIVE INTERCHANGE HEALTHCARE LLC
Chain-average star ratings (for peer context)
Overall
2.4
Health
1.9
Staffing
2.0
QM
4.5

Owner / manager organizations (4)

Organization Role Association
PROGRESSIVE INTERCHANGE LLC 5% OR GREATER DIRECT OWNERSHIP INTEREST since 01/31/2009
FLANK REAL ESTATE, LLC 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 01/31/2009
MIKE FLANK TRUST 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 09/09/2022
PROGRESSIVE QUALITY CARE INC OPERATIONAL/MANAGERIAL CONTROL since 01/31/2009

Owner / manager individuals (5)

Name Role Association
GREENBURG, STEVE 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 01/31/2009
AGARWAL, RAJESH OPERATIONAL/MANAGERIAL CONTROL since 10/01/2011
FLANK, EITAN OPERATIONAL/MANAGERIAL CONTROL since 01/31/2009
LESHER, ELIZABETH OPERATIONAL/MANAGERIAL CONTROL since 06/21/2021
SHILLER, DANIEL CORPORATE OFFICER since 01/31/2009

Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.

Facility Features

CCRC
No
Hospital-based
No
Resident / family council
Resident
Sprinkler systems
Yes
Abuse citation flag
No
Methodology & sources

Full methodology →

All Data

Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.

Download CSV

Show 113 rows
Source Metric Value Raw key
Cost Report Cost per Resident Day ($) $36 metrics.cost_per_resident_day
Cost Report Current Ratio 0.89 metrics.current_ratio
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicaid Day Share (%) 28.8% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 4.9% metrics.medicare_day_share
Cost Report Net Income ($) $-785,849 metrics.net_income
Cost Report Net Patient Revenue ($) $9,671,272 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 84.5% metrics.occupancy_rate
Cost Report Operating Margin (%) -8.1% metrics.operating_margin
Cost Report Total Assets ($) $12,579,475 metrics.total_assets
Cost Report Total Costs ($) $1,067,474 metrics.total_costs
Cost Report Total Fund Balances ($) $1,507,160 metrics.fund_balance
Cost Report Total Liabilities ($) $11,072,315 metrics.total_liabilities
Cost Report Total Margin (%) -8.1% metrics.total_margin
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 0.82953 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 1.52461 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.34163 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 2.69578 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 2.25310 Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Administrator turnover footnote Administrator turnover footnote
Provider Information Automatic Sprinkler Systems in All Required Areas Yes Automatic Sprinkler Systems in All Required Areas
Provider Information Average Number of Residents per Day 88.7 Average Number of Residents per Day
Provider Information Average Number of Residents per Day Footnote Average Number of Residents per Day Footnote
Provider Information Case-Mix LPN Staffing Hours per Resident per Day 1.06216 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.88673 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.83722 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 4.78611 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 4.21845 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating 1.9 Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating 2.4 Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating 4.5 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 2.0 Chain Average Staffing Rating
Provider Information Chain ID 427 Chain ID
Provider Information Chain Name PROGRESSIVE QUALITY CARE Chain Name
Provider Information City/Town WARRENSVILLE HEIGHTS City/Town
Provider Information CMS Certification Number (CCN) 366394 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community N Continuing Care Retirement Community
Provider Information County/Parish Cuyahoga County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 2010-10-18 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote 22 Geocoding Footnote
Provider Information Health Inspection Rating 1 Health Inspection Rating
Provider Information Health Inspection Rating Footnote Health Inspection Rating Footnote
Provider Information Latitude 41.4411 Latitude
Provider Information Legal Business Name PROGRESSIVE INTERCHANGE HEALTHCARE LLC Legal Business Name
Provider Information Location 4120 INTERCHANGE CORPORATE CENTER ROAD,WARRENSVILLE HEIGHTS,OH,44128 Location
Provider Information Long-Stay QM Rating 5 Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote Long-Stay QM Rating Footnote
Provider Information Longitude -81.546 Longitude
Provider Information Most Recent Health Inspection More Than 2 Years Ago N Most Recent Health Inspection More Than 2 Years Ago
Provider Information Number of administrators who have left the nursing home 1 Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 97 Number of Certified Beds
Provider Information Number of Citations from Infection Control Inspections 0 Number of Citations from Infection Control Inspections
Provider Information Number of Facilities in Chain 11 Number of Facilities in Chain
Provider Information Number of Fines 2 Number of Fines
Provider Information Number of Payment Denials 0 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.69550 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 1.23072 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 1 Overall Rating
Provider Information Overall Rating Footnote Overall Rating Footnote
Provider Information Ownership Type For profit - Limited Liability company Ownership Type
Provider Information Physical Therapist Staffing Footnote Physical Therapist Staffing Footnote
Provider Information Processing Date 2026-03-01 Processing Date
Provider Information Provider Address 4120 INTERCHANGE CORPORATE CENTER ROAD Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name AVENUE CARE AND REHABILITATION CENTER, THE Provider Name
Provider Information Provider Resides in Hospital N Provider Resides in Hospital
Provider Information Provider SSA County Code 170 Provider SSA County Code
Provider Information Provider Type Medicare and Medicaid Provider Type
Provider Information QM Rating 4 QM Rating
Provider Information QM Rating Footnote QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 188 Rating Cycle 1 Health Deficiency Score
Provider Information Rating Cycle 1 Health Revisit Score 0 Rating Cycle 1 Health Revisit Score
Provider Information Rating Cycle 1 Number of Complaint Health Deficiencies 21 Rating Cycle 1 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 1 Number of Health Revisits 1 Rating Cycle 1 Number of Health Revisits
Provider Information Rating Cycle 1 Number of Standard Health Deficiencies 26 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2025-08-13 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 188 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 33 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 8 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2023-05-24 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 132 Rating Cycle 2/3 Health Deficiency Score
Provider Information Rating Cycle 2/3 Health Revisit Score 0 Rating Cycle 2/3 Health Revisit Score
Provider Information Rating Cycle 2/3 Number of Complaint Health Deficiencies 10 Rating Cycle 2/3 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 2/3 Number of Health Revisits 1 Rating Cycle 2/3 Number of Health Revisits
Provider Information Rating Cycle 2/3 Total Health Score 132 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 17 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.21811 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 53.8 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 1.45181 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 1.02831 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 1.88995 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.01484 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.42350 Reported RN Staffing Hours per Resident per Day
Provider Information Reported Staffing Footnote Reported Staffing Footnote
Provider Information Reported Total Nurse Staffing Hours per Resident per Day 3.34176 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating 2 Short-Stay QM Rating
Provider Information Short-Stay QM Rating Footnote Short-Stay QM Rating Footnote
Provider Information Special Focus Status Special Focus Status
Provider Information Staffing Rating 1 Staffing Rating
Provider Information Staffing Rating Footnote Staffing Rating Footnote
Provider Information State OH State
Provider Information Telephone Number 2168969900 Telephone Number
Provider Information Total Amount of Fines in Dollars 34146.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 2.79300 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 2 Total Number of Penalties
Provider Information Total nursing staff turnover 61.9 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 174.000 Total Weighted Health Survey Score
Provider Information Urban Y Urban
Provider Information With a Resident and Family Council Resident With a Resident and Family Council
Provider Information ZIP Code 44128 ZIP Code