SNF
AVENUE AT MEDINA
CCN: 366407 · MEDINA, OH 44256 · Medina County
Inspection > 2 years ago
Overview
- Address
- 699 EAST SMITH ROAD, MEDINA, OH 44256
- Phone
- 3307217001
- Certified beds
- 70
- Avg daily residents
- 65 (93% of beds filled)
- Ownership
- For-profit corporation
- Provider type
- Medicare and Medicaid
- Medicare/Medicaid since
- 2013-06-20
- Setting
- Urban
4 /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.
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 | 3.60 | 4.42 | 3.14 | ≥ 3.48 | |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 0.60 | 0.77 | 0.53 | ≥ 0.55 | |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 1.11 | 0.98 | 0.97 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 1.89 | 2.67 | 1.65 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 1.71 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.08 | — | — | — |
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)
3.15
hrs / resident / day
RN (weekend)
0.33
hrs / resident / day
Total nurse (adjusted, weekend)
2.75
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
42.7%
annual
RN turnover
42.9%
annual
Administrators departed
0
last 12 months
Resident acuity
Nursing Case-Mix Index
1.57
higher acuity than avg
Case-Mix Index Ratio
1.14
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) | 2022-11-23 | 6 | 6 | 0 | 44 | 1 | 44 |
| Cycle 2/3 (prior) | 2019-12-28 | 14 | 2 | 12 | 60 | 1 | 60 |
Total weighted health score
48.0
lower is better
Infection-control citations
0
last cycle
Deficiencies (24)
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).
24 D/E/F Actual harm — potential for minor
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-12-03 | 2024-12-20 |
| 0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2024-12-03 | 2024-12-20 |
| 0880 | Provide and implement an infection prevention and control program. | D | 2024-12-03 | 2024-12-20 |
| 0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2024-07-25 | 2024-08-15 |
| 0807 | Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | D | 2024-07-25 | 2024-08-15 |
| 0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | D | 2024-01-26 | 2024-02-15 |
| 0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2024-01-26 | 2024-02-15 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2024-01-26 | 2024-02-15 |
| 0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | 2024-01-26 | 2024-02-15 |
| 0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2024-01-26 | 2024-02-15 |
| 0880 | Provide and implement an infection prevention and control program. | D | 2024-01-26 | 2024-02-15 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2023-03-27 | 2023-04-12 |
| 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2022-11-23 | 2022-12-23 |
| 0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | 2022-11-23 | 2022-12-23 |
| 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 | 2022-11-23 | 2022-12-23 |
| 0761 | Ensure 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. | E | 2022-11-23 | 2022-12-23 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2022-11-23 | 2022-12-23 |
| 0880 | Provide and implement an infection prevention and control program. | F | 2022-11-23 | 2022-12-23 |
| 0679 | Provide activities to meet all resident's needs. | D | 2019-12-28 | 2020-01-28 |
| 0761 | Ensure 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. | D | 2019-12-28 | 2020-01-28 |
| 0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | 2018-10-11 | 2018-11-16 |
| 0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | 2018-10-11 | 2018-11-16 |
| 0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2018-10-11 | 2018-11-16 |
| 0880 | Provide and implement an infection prevention and control program. | E | 2018-10-11 | 2018-11-16 |
Financial Health (FY 2023)
Payer mix (share of resident days)
Medicare 15.6% Medicaid 10.0% Other 74.3%
Operating performance
Operating Margin
-11.3%
Total Margin
-10.6%
Occupancy Rate
83.9%
Cost per Resident Day
$45
Revenue & costs
Net Patient Revenue
$7.6M
Total Costs
$956K
Net Income
-$813K
Balance sheet
Total Assets
$3.5M
Total Liabilities
$6.6M
Fund Balance
-$3.1M
Current Ratio
2.98
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 MEDINA LLC
Chain-average star ratings (for peer context)
Overall
2.4
Health
1.9
Staffing
2.0
QM
4.5
Owner / manager organizations (1)
| Organization | Role | Association |
|---|---|---|
| PROGRESSIVE QUALITY CARE INC | OPERATIONAL/MANAGERIAL CONTROL | since 01/01/2013 |
Owner / manager individuals (13)
| Name | Role | Association |
|---|---|---|
| FLANK, EITAN | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 06/10/2022 |
| FLANK, LIAT | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 06/10/2022 |
| FLANK, MATAN | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 06/10/2022 |
| FLANK, SHAUL | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 06/10/2022 |
| SAUSEN, JOEL | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 06/10/2022 |
| JAIN, SUSHIL | OPERATIONAL/MANAGERIAL CONTROL | since 06/19/2013 |
| NEDOLAST, SIDNEY | OPERATIONAL/MANAGERIAL CONTROL | since 09/16/2021 |
| FLANK, EITAN | CORPORATE OFFICER | since 11/19/2009 |
| FLANK, LIAT | CORPORATE OFFICER | since 11/19/2009 |
| FLANK, MATAN | CORPORATE OFFICER | since 11/19/2009 |
| FLANK, SHAUL | CORPORATE OFFICER | since 11/19/2009 |
| SAUSEN, JOEL | CORPORATE OFFICER | since 11/19/2009 |
| SHILLER, DANIEL | CORPORATE OFFICER | since 01/01/2010 |
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
- None
- Sprinkler systems
- Yes
- Abuse citation flag
- No
Methodology & sources
- Nursing Home Provider Info (
nh-provider-info), vintage 2026, downloaded 2026-04-14 , 14,703 rows. - Nursing Home Health Deficiencies (
nh-deficiencies), vintage 2026, downloaded 2026-04-14 , 418,972 rows. - Nursing Home Ownership (
nh-ownership), vintage 2026, downloaded 2026-04-14 , 160,393 rows. - Skilled Nursing Facility Cost Report (
snf-cost-report), vintage 2023, downloaded 2026-04-14 , 14,120 rows.
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.
Show 113 rows
| Source | Metric | Value | Raw key |
|---|---|---|---|
| Cost Report | Cost per Resident Day ($) | $45 | metrics.cost_per_resident_day |
| Cost Report | Current Ratio | 2.98 | metrics.current_ratio |
| Cost Report | fiscal_year | 2,023 | fiscal_year |
| Cost Report | Medicaid Day Share (%) | 10.0% | metrics.medicaid_day_share |
| Cost Report | Medicare Day Share (%) | 15.6% | metrics.medicare_day_share |
| Cost Report | Net Income ($) | $-813,292 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $7,618,496 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 83.9% | metrics.occupancy_rate |
| Cost Report | Operating Margin (%) | -11.3% | metrics.operating_margin |
| Cost Report | Total Assets ($) | $3,517,927 | metrics.total_assets |
| Cost Report | Total Costs ($) | $955,504 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $-3,095,112 | metrics.fund_balance |
| Cost Report | Total Liabilities ($) | $6,613,039 | metrics.total_liabilities |
| Cost Report | Total Margin (%) | -10.6% | metrics.total_margin |
| Provider Information | Abuse Icon | N | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 0.97097 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 1.64739 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 0.52569 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 3.14406 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 2.75101 | 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 | 65.3 | 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 | 0.98105 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 2.66627 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.77328 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 4.42061 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 3.89630 | 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 | MEDINA | City/Town |
| Provider Information | CMS Certification Number (CCN) | 366407 | CMS Certification Number (CCN) |
| Provider Information | Continuing Care Retirement Community | N | Continuing Care Retirement Community |
| Provider Information | County/Parish | Medina | County/Parish |
| Provider Information | Date First Approved to Provide Medicare and Medicaid Services | 2013-06-20 | Date First Approved to Provide Medicare and Medicaid Services |
| Provider Information | Geocoding Footnote | — | Geocoding Footnote |
| Provider Information | Health Inspection Rating | 3 | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | — | Health Inspection Rating Footnote |
| Provider Information | Latitude | 41.1362 | Latitude |
| Provider Information | Legal Business Name | PROGRESSIVE MEDINA LLC | Legal Business Name |
| Provider Information | Location | 699 EAST SMITH ROAD,MEDINA,OH,44256 | 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 | -81.851 | Longitude |
| Provider Information | Most Recent Health Inspection More Than 2 Years Ago | Y | Most Recent Health Inspection More Than 2 Years Ago |
| Provider Information | Number of administrators who have left the nursing home | 0 | Number of administrators who have left the nursing home |
| Provider Information | Number of Certified Beds | 70 | 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 | 0 | Number of Fines |
| Provider Information | Number of Payment Denials | 0 | Number of Payment Denials |
| Provider Information | Nursing Case-Mix Index | 1.56602 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 1.13674 | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | 4 | Overall Rating |
| Provider Information | Overall Rating Footnote | — | Overall Rating Footnote |
| Provider Information | Ownership Type | For profit - Corporation | 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 | 699 EAST SMITH 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 AT MEDINA | Provider Name |
| Provider Information | Provider Resides in Hospital | N | Provider Resides in Hospital |
| Provider Information | Provider SSA County Code | 530 | Provider SSA County Code |
| Provider Information | Provider Type | Medicare and Medicaid | Provider Type |
| Provider Information | QM Rating | 5 | QM Rating |
| Provider Information | QM Rating Footnote | — | QM Rating Footnote |
| Provider Information | Rating Cycle 1 Health Deficiency Score | 44 | 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 | 0 | 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 | 6 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2022-11-23 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 44 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 6 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 2 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2019-12-28 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 60 | 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 | 12 | 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 | 60 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 14 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 0.32872 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | 42.9 | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | — | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 1.71362 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 1.11172 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 1.88620 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.07755 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 0.60190 | 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 | 3.59982 | Reported Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Short-Stay QM Rating | 4 | 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 | 2 | Staffing Rating |
| Provider Information | Staffing Rating Footnote | — | Staffing Rating Footnote |
| Provider Information | State | OH | State |
| Provider Information | Telephone Number | 3307217001 | Telephone Number |
| Provider Information | Total Amount of Fines in Dollars | 0.00 | Total Amount of Fines in Dollars |
| Provider Information | Total number of nurse staff hours per resident per day on the weekend | 3.14979 | Total number of nurse staff hours per resident per day on the weekend |
| Provider Information | Total Number of Penalties | 0 | Total Number of Penalties |
| Provider Information | Total nursing staff turnover | 42.7 | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | — | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 48.000 | Total Weighted Health Survey Score |
| Provider Information | Urban | Y | Urban |
| Provider Information | With a Resident and Family Council | None | With a Resident and Family Council |
| Provider Information | ZIP Code | 44256 | ZIP Code |