Avenue At Medina

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

51.4% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 208 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 87.3% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 79 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.41 therapist hours per resident per day in 2026Q1 — more than 71% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 13% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 70 beds and averages 62.3 residents a day — about 89% occupied, or roughly 8 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.67 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.63 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.90 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.33 hrs/resident/day on weekends vs 3.81 on weekdays — 13% thinner on weekends. RN hours go from 0.72 to 0.41 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 50% is about the same as the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

23 citations, most serious first. The 10 most serious are shown; the remaining 13 are one tap away and print in full.

• Potential for harm · E2026-02-18 · tag F0658 — failed to meet professional standards of care — pattern
  Ensure services provided by the nursing facility meet professional standards of quality.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record reviews, interviews, review of the State Board of Pharmacy investigation and facility policy review, the facility failed to ensure medications were safeguarded in accordance with accepted professional standards of practice when a licensed nurse diverted (stole) non-narcotic medications belonging to 10 residents without knowledge of facility administration. This affected 10 (Residents #6, #39, #43, #78, #79, #80, #81, #82, #83, #84) of 65 residents reviewed for medications.Findings include:1. Review of medical record for Resident #6 noted an admission date of 04/25/25. Diagnoses included generalized anxiety disorder and major depressive disorder. Resident #6 had impaired cognition.Review of the medication administration record (MAR) noted Resident #6 was receiving hydroxyzine (antianxiety) 12.5 milligrams (mg) dated 04/16/25 through 04/22/25 three times a day. 2. Review of medical record for Resident #39 noted an admission date of 12/04/24. Diagnosis included low back pain. Resident #39 had impaired cognition.Review of the MAR noted Resident #39 was receiving Macrobid…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-02-18 · tag F0641 — isolated
  Ensure each resident receives an accurate assessment.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, resident and staff interviews, the facility failed to code resident Minimum Data Set (MDS) assessments accurately. This affected three (Residents #2, #8, and #43) of 15 sampled residents reviewed for accuracy of MDS assessments. The facility census was 65.Findings include:1. Review of the medical record revealed Resident #2 was admitted to the facility on [DATE] with diagnoses that included major depressive disorder, anxiety disorder and hypotension. Review of the admission assessment of the MDS 3.0 assessment dated [DATE] revealed Resident #2 was moderately cognitively impaired and required moderate assistance with activities of daily living (ADL).Further review of the admission MDS section N revealed that Resident #2 received one shot injection and one dose of insulin.Further review of the medical record for Resident #2 revealed that he did not have any orders for insulin.Interview on 02/11/2026 at 1:31 P.M. with MDS Nurse #139 stated that the one injection that Resident #2…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-02-18 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to ensure laboratory tests were obtained per physician's order. This affected one (Resident #2) of three residents reviewed for laboratory findings. The facility census was 65.Findings include:Review of the medical record revealed Resident #2 was admitted to the facility on [DATE] with diagnoses that included major depressive disorder, anxiety disorder and hypotension. Review of the admission Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed Resident #2 was moderately cognitively impaired and required moderate assistance with activities of daily living (ADL).Review of the progress note dated 02/07/26 at 5:42 A.M. revealed Resident #2 presented with amber colored urine. A urine sample was obtained and a dipstick performed with abnormal results. The physician was notified and ordered a urine analysis (UA) as well as a culture and sensitivity (C&S) for 02/09/26.Review of the physician's orders for February 2026 revealed that UA C&S were ordered for…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-02-18 · tag F0887 — isolated
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review and staff interview, the facility did not ensure residents received COVID immunizations as requested. This affected one (Resident #43) of the five residents reviewed for COVID immunizations. The facility census was 65.Findings include:Review of the medical record revealed Resident #43 was admitted to the facility on [DATE] with diagnoses that included major depressive disorder, pruritus, and Alzheimer's disease. Review of the annual Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed Resident #43 was severely cognitively impaired and required substantial assistance with activities of daily living (ADL).Review of the COVID consent form dated 10/13/25 for Resident #43 revealed that her power of attorney (POA) verbally gave consent for Resident #43 to receive the COVID vaccine, and it was witnessed by two nurses.Further review of the medical record for Resident #43 revealed that she did not get the COVID vaccine.Interview on 02/11/26 at 1:31 P.M. with MDS Nurse #139 verified…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-12-03 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interviews, record review and review of the facility policy, the facility failed to ensure Resident's #58 and #66 had comprehensive post-fall assessments completed, failed to ensure Resident #58's care planned interventions were implemented, and failed to ensure Resident #58 had an individualized care planned intervention placed after a fall. This affected two residents (#58 and #66) out of three reviewed for falls. The facility census was 60. Findings include: 1. Review of Resident #58's medical record revealed an admission date of 11/19/24 with diagnoses including aftercare following joint replacement surgery, pneumonia, Parkinsonism, leukemia, personal history of transient ischemic attack (TIA), and cerebral infarction without residual deficits. Review of Resident #58's Fall Risk assessment dated [DATE] revealed Resident #58 was at risk for falls. Review of Resident #58's care plan dated 11/25/24 included Resident #58 was at risk for falls related to gait and balance problems. Resident…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-12-03 · tag F0697 — failed to manage pain — isolated
  Provide safe, appropriate pain management for a resident who requires such services.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, record review and review of the facility policy, the facility failed to ensure Resident #32 had a timely comprehensive pain assessment. This affected one resident (Resident #32) out of three residents reviewed for medication administration. The facility census was 60. Findings include: Review of Resident #32's medical record revealed an admission date of 11/15/24 with diagnoses including spinal stenosis, lumbosacral region, functional quadriplegia, and type two diabetes mellitus without complications. Review of Resident #32's admission Minimum Data Set (MDS) 3.0 assessment dated [DATE] included Resident #32 was cognitively intact. Resident #32 required partial to moderate assistance with toileting hygiene, bathing and dressing. Resident #32 frequently had pain or hurting in the last five days, the pain occasionally made it hard to sleep at night, and Resident #32 frequently limited his participation in rehabilitation therapy sessions due to pain. Review of Resident #32's care…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-12-03 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, record review and review of the facility policy, the facility failed to ensure staff donned appropriate personal protective equipment (PPE) and used appropriate hand hygiene to potentially prevent the spread of infection for Resident #58 who was on contact precautions. In addition, the facility failed to ensure appropriate hand hygiene was completed before entering Resident #30's room to provide care. This affected two resident's (#30 and #58) and had the potential to affect 20 residents (#7, #8, #11, #15, #17, #22, #23, #26, #34, #35, #36, #38, #43, #49, #51, #53, #57, #58, #59, #62) on transmission-based precautions. The facility census was 60. Findings include: 1. Review of Resident #58's medical record revealed an admission date of 11/19/24 with diagnoses including aftercare following joint replacement surgery, pneumonia, Parkinsonism, leukemia, and personal history of transient ischemic attack (TIA) and cerebral infarction without residual deficits. Review of Resident #58's…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-07-25 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review and interview, the facility failed to ensure Resident #15's pressure ulcer wound care dressing was in place as ordered. This finding affected one (Resident #15) of three residents reviewed for pressure ulcer wounds. Findings include: Review of Resident #15's medical record revealed the resident was admitted on [DATE] with diagnoses including Parkinsonism, unspecified fall and anemia. Review of Resident #15's admission Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed the resident exhibited severe cognitive impairment. Review of Resident #15's Pressure Ulcer/Wound Record form dated 07/1624 revealed the resident had a deep tissue injury (DTI) left heel pressure wound first identified 07/11/24 which measured 1.1 centimeters (cm) length by 0.8 cm width by undetermined depth (UTD) with a 100% purple/maroon discoloration. Review of Resident #15's physician orders revealed an order dated 07/12/24 (discontinued 07/16/24) to apply skin prep to the bilateral heels daily for…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-07-25 · tag F0807 — failed to offer suitable drinks — isolated
  Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review and interview, the facility failed to ensure fluids were provided on Resident #43's meal trays as indicated on the meal ticket. This finding affected one (Resident #43) of three residents reviewed for meals and fluids. Findings include: Review of Resident #43's medical record revealed the resident was admitted on [DATE] with diagnoses including Alzheimer's disease, generalized anxiety and contracture of the left hand. Review of Resident #43's quarterly Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed the resident exhibited severe cognitive impairment. Review of Resident #43's physician orders revealed an order dated 08/14/23 for a two-handled mug with straws at meals; and an order dated 06/02/24 for a regular diet, mechanical soft texture, nectar thick liquids. Review of Resident #43's breakfast meal ticket dated 07/23/24 (for the breakfast meal) revealed the resident required a 2-handled spouted sippy cup, daily nectar thick juice, nectar water and nectar thick…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2024-01-26 · tag F0684 — failed to provide proper treatment and quality of care — pattern
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, interview, smart watch data review, and policy review the facility failed to check on Resident #69 every two hours as care planned, and failed to ensure residents receiving skilled services were weighed upon admission and vitals signs were obtained daily affecting Residents #23, #30 and #46. This affected four of nine sampled residents, Residents #69, #30, #23, and #46. Facility census was 66. Findings include: 1. Review of Resident #69's closed medical records revealed an admission date of [DATE] and a discharge (deceased ) date of [DATE]. Diagnoses included left femur fracture and high blood pressure. Review of the care plan dated [DATE] revealed Resident #69 had bowel and bladder incontinence. Interventions included check for incontinence every two hours and as needed. Review of the [NAME] Data Set (MDS) assessment dated [DATE] revealed Resident #69 had intact cognition. Resident #69 was continent of urine and incontinent of bowel. Review of the progress note dated [DATE] timed 5:41…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to PROGRESSIVE QUALITY CARE — 11 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 23 rows in the source record cover these 9 parties — each is shown once here with every role it holds. Nothing is omitted.

1 organizational owner listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

This home reported $1.8M paid to related parties — landlords or management companies under common ownership — equal to about 22% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in OH