30.2/100
Poor
4120 Interchange Corporate Center Road, Warrensville Heights, OH 44128
These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.
3 citation(s) involving actual harm or immediate jeopardy
Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.
$34,146 in federal fines
CMS has fined this facility across 2 penalty action(s).
Nursing staff turnover of 68%
High turnover means residents rarely see the same caregiver twice. The national average is about 50%.
Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.
Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
Grade ceiling applied
Hours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Last standard health inspection: August 13, 2025 (1 year ago).
Administration Deficiencies
Employ staff that are licensed, certified, or registered in accordance with state laws.
No actual harm, potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
No actual harm, potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
No actual harm, potential for more than minimal harm
Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
No actual harm, potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
No actual harm, potential for more than minimal harm
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
No actual harm, potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
No actual harm, potential for more than minimal harm
Nursing and Physician Services Deficiencies
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.
No actual harm, potential for more than minimal harm
Part of PROGRESSIVE QUALITY CARE, which operates 11 homes. Staffing budgets are usually set at chain level, not in the building.
| Owner | Type | Role | Since |
|---|---|---|---|
| SHILLER, DANIEL | Individual | CORPORATE OFFICER | — |
| PROGRESSIVE QUALITY CARE INC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — |
| AGARWAL, RAJESH | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| FLANK, EITAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| LESHER, ELIZABETH | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| FLANK REAL ESTATE, LLC | Organization | ADP OF THE SNF | — |
| MIKE FLANK TRUST | Organization | ADP OF THE SNF | — |
| PROGRESSIVE QUALITY CARE INC | Organization | ADP OF THE SNF | — |
| AGARWAL, RAJESH | Individual | ADP OF THE SNF | — |
| FLANK, EITAN | Individual | ADP OF THE SNF | — |
| GREENBURG, STEVE | Individual | ADP OF THE SNF | — |
| LESHER, ELIZABETH | Individual | ADP OF THE SNF | — |
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Avenue Care And Rehabilitation Center, The holds an ElderGrade of F (30.2 out of 100), which we describe as "poor". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.
Residents receive an average of 3.58 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
Yes. 3 of the 53 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.
Yes, Avenue Care And Rehabilitation Center, The is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.