Every nursing home CMS records under this group, and how the portfolio performs as a whole. Consistency
across a group says more about an operator than any single building.
Homes
11
States
1
Beds
1,042
Avg score
67
Avg turnover
55%
Federal fines
$280,211
Flags across this group
1 home is in or a candidate for the Special Focus Facility programme.
The Avenue at Medina runs a leaner floor than most: 3.67 nurse hours per resident day against a national average of 3.86, with weekends dropping roughly 9% below its own weekday levels. That thinner coverage shows up in the staffing star rating, which sits at 2 out of 5, and in a 50% annual turnover rate that edges past the national 45.8%, you may see unfamiliar faces. What works in its favor is a clean recent inspection history: 23 deficiencies on record, none at harm or jeopardy level and none abuse-related, with the last survey dated February 2026. Quality measures score 5 out of 5. For-profit corporate ownership. Worth asking how they cover a weekend call-off.
Avenue At Aurora is a for-profit LLC home with 98 certified beds in Aurora, and its inspection record has some real strengths: 14 deficiencies on file, only one at the harm or jeopardy level, none tied to abuse, and a recent inspection date of January 20, 2026. The clinical quality measures also look strong at 5 out of 5 stars. Where the picture weakens is staffing. At 3.60 nurse hours per resident day, the home runs about 7% below the national average of 3.86, and weekends drop roughly 10% below its own weekday levels. Annual turnover sits at 54.4%, well above the 45.8% national figure, which means the people caring for residents are often new.
Parma Care Center runs 104 beds under for-profit LLC ownership, and its nurse staffing sits at 3.76 hours per resident day, a bit under the 3.86 national average, with weekends dropping roughly 18% below its own weekday coverage. Turnover lands at 43.8%, slightly better than the 45.8% national figure. The bigger concern is the inspection record: 22 deficiencies, three of them at harm or jeopardy level and one abuse-related, with the most recent survey dated July 2025. CMS gives it 2 out of 5 stars for both staffing and health inspections, though its quality measure score is 5 out of 5, a split worth asking about directly.
Avenue At Wooster runs lean on nursing hours, 3.28 per resident day against a national average of 3.86, and weekends drop roughly 16% below what the home staffs during the week. That thin coverage shows up in the inspection record: 33 deficiencies, including one at the harm or jeopardy level and four tied to abuse. The quality measure score is strong, but it sits next to a two-star staffing rating and a two-star health inspection rating, so read the clinical numbers with that context. Turnover at 35.8% is better than the 45.8% national figure, which matters for continuity. This is a for-profit corporate home last inspected in March 2025.
Avenue At Macedonia runs 98 certified beds under corporate ownership, and its inspection record is the part I'd want you to sit with: 34 deficiencies on the current record, including two at the harm or jeopardy level and three tied to abuse. That's a lot of citations, and the abuse-related ones aren't paperwork problems. The health inspection rating sits at 2 out of 5, which tracks with that count. Its quality measure rating is 4 out of 5, so the clinical metrics families often see look better than the survey history does. One fine on record, $23,140. The most recent inspection was February 27, 2025, so the picture is current, not stale. If you're considering this home, ask specifically what changed after those abuse and harm citations.
Strongsville Healthcare and Rehabilitation runs about 3.06 nurse hours per resident per day, roughly a fifth below the national average of 3.86, and weekends dip even lower than the home's own weekdays. That thin coverage shows up in the staffing rating, and so does a 53.2% annual turnover rate, which is well above the 45.8% national figure. The current inspection record carries 16 deficiencies, two of them serious enough to involve harm or jeopardy, plus two abuse-related citations and $27,254 in fines, with the last inspection in February 2024. The quality measure score looks strong and the inspection history is mixed, but the direct-care numbers are what a family will actually feel day to day.
Avenue At Broadview Heights runs 78 certified beds under corporate ownership, and its staffing ratio looks fine on paper, 3.96 nurse hours per resident day, a hair above the national average. But that average hides a real problem: weekends run about 11 percent thinner than weekdays, and 67 percent of staff turned over in a year against a national rate of 45.8 percent. The people caring for your family member keep changing. Inspectors have logged 46 deficiencies, three serious enough to risk harm and one tied to abuse, with the most recent visit in November 2024. Resident outcomes score well on paper, but consistent, familiar caregivers matter more day to day.
Avenue At North Ridgeville runs 3.69 nurse staffing hours per resident day, about 4% under the national average, and weekends drop roughly 8% below its own weekday levels, so the thinnest coverage lands when families tend to visit. The 46.7% annual turnover is essentially the national rate, meaning the staff you meet may not be there next year. Inspections tell the harder story: 33 deficiencies on the current record, two serious enough to involve harm or jeopardy, and $68,390 in fines, with the last inspection dating to February 2023. The quality measure score looks strong, but that's built from resident assessments, not from how the place is run day to day.
Avenue At Brooklyn runs 111 certified beds under for-profit LLC ownership, and the numbers that matter most here are thin. Nurse staffing sits at 3.16 hours per resident day, roughly 18% under the national average, and weekends dip about 7% below the home's own weekday level, so coverage is lightest exactly when families tend to visit. Staff turnover is 61.5%, well above the 45.8% national figure, which means the people providing care keep changing. The inspection record shows 35 deficiencies, including three at harm or jeopardy level and three tied to abuse, with $56,301 in fines and a February 2025 inspection. Quality measures score well; staffing and inspections do not.
Avenue Care and Rehabilitation Center is a for-profit, limited-liability operation in Warrensville Heights with 97 certified beds, and its staffing numbers tell a hard story. Nurses provide 3.58 hours per resident day, roughly 7% under the national average, and weekend coverage drops about 9% below the home's own weekday level. Annual turnover sits at 67.5%, well above the 45.8% national figure, meaning the people caring for residents are constantly changing. The inspection record is heavier still: 53 deficiencies, including 3 at harm or jeopardy level and 2 abuse-related, with $34,146 in fines across two penalties. Federal ratings put staffing and health inspections at 1 out of 5 stars each, though quality measures score 4. The last inspection was August 13, 2025.
Avenue At Lyndhurst runs 3.67 nurse hours per resident day against a national average of 3.86, and weekends drop about 12% below its own weekday staffing. That schedule gap matters more when turnover sits at 72.4%, well above the 45.8% national figure, because replacements are constantly learning the floor. The inspection record is the harder problem: 59 deficiencies, including one at harm or jeopardy level and one abuse-related, with a 1-out-of-5 inspection rating despite a recent visit in August 2025. Quality measures score 5 out of 5, but strong clinical numbers don't offset thin weekend coverage and a long list of cited problems. It's for-profit, LLC-owned, 102 beds.