CMS PUBLIC RECORD · AUGUST 2026 RELEASERECORDS ARE ONE INPUT—NOT A PLACEMENT RECOMMENDATION
NURSING HOMELEDGERINSPECTIONS · OWNERSHIP · PENALTIES
CMS CCN 3664072026-08-01 PROCESSING DATE

NURSING HOME PUBLIC RECORD

Avenue At Medina

699 East Smith Road · Medina, OH 44256 · Medina County

CMS OVERALL RATING★★★★★5/5CMS field—not our score or recommendation
Certified beds70CMS provider file
Recent citation rows38current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.

The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.

01 / INSPECTION LEDGER

Survey cycles in this release

CycleHealth dateHealth deficienciesFire dateFire deficiencies
Cycle 12026-02-1842026-02-187
Cycle 22022-11-2392022-11-233
Cycle 32019-12-28102019-12-285
02 / CITATION DETAIL

38 rows in the current release

0 rows carry G–L scope/severity codes; 0 carry J–L. 6 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.

2026-02-18 · HEALTHF0641Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

Correction field: Deficient, Provider has date of correction · 2026-03-04
2026-02-18 · HEALTHF0658Severity E · pattern; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

Correction field: Deficient, Provider has date of correction · 2026-03-04 · complaint
2026-02-18 · HEALTHF0684Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Correction field: Deficient, Provider has date of correction · 2026-03-04
2026-02-18 · HEALTHF0887Severity D · isolated; potential for more than minimal harm

Infection Control Deficiencies

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.

Correction field: Deficient, Provider has date of correction · 2026-03-04
2026-02-18 · FIREK0293Severity F · widespread; potential for more than minimal harm

Egress Deficiencies

Have properly located and lighted "Exit" signs.

Correction field: Deficient, Provider has date of correction · 2026-03-04
2026-02-18 · FIREK0324Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Provide properly protected cooking facilities.

Correction field: Deficient, Provider has date of correction · 2026-03-04
2026-02-18 · FIREK0353Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

Correction field: Deficient, Provider has date of correction · 2026-03-04
2026-02-18 · FIREK0372Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Correction field: Deficient, Provider has date of correction · 2026-03-04
2026-02-18 · FIREK0712Severity F · widespread; potential for more than minimal harm

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

Correction field: Deficient, Provider has date of correction · 2026-03-04
2026-02-18 · FIREK0920Severity F · widespread; potential for more than minimal harm

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

Correction field: Deficient, Provider has date of correction · 2026-03-04
2026-02-18 · FIREK0923Severity E · pattern; potential for more than minimal harm

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

Correction field: Deficient, Provider has date of correction · 2026-03-04
2024-12-03 · HEALTHF0689Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Correction field: Deficient, Provider has date of correction · 2024-12-20 · complaint
2024-12-03 · HEALTHF0697Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Provide safe, appropriate pain management for a resident who requires such services.

Correction field: Deficient, Provider has date of correction · 2024-12-20 · complaint
2024-12-03 · HEALTHF0880Severity D · isolated; potential for more than minimal harm

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Correction field: Deficient, Provider has date of correction · 2024-12-20 · complaint
2024-07-25 · HEALTHF0686Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Correction field: Deficient, Provider has date of correction · 2024-08-15 · complaint
2024-07-25 · HEALTHF0807Severity D · isolated; potential for more than minimal harm

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.

Correction field: Deficient, Provider has date of correction · 2024-08-15 · complaint
2024-01-26 · HEALTHF0565Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

Honor the resident's right to organize and participate in resident/family groups in the facility.

Correction field: Deficient, Provider has date of correction · 2024-02-15 · complaint
2024-01-26 · HEALTHF0580Severity D · isolated; 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.

Correction field: Deficient, Provider has date of correction · 2024-02-15 · complaint
2024-01-26 · HEALTHF0684Severity E · pattern; potential for more than minimal harm

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Correction field: Deficient, Provider has date of correction · 2024-02-15 · complaint
2024-01-26 · HEALTHF0694Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Correction field: Deficient, Provider has date of correction · 2024-02-15 · complaint
2024-01-26 · HEALTHF0697Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Provide safe, appropriate pain management for a resident who requires such services.

Correction field: Deficient, Provider has date of correction · 2024-02-15 · complaint
2024-01-26 · HEALTHF0880Severity D · isolated; potential for more than minimal harm

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Correction field: Deficient, Provider has date of correction · 2024-02-15 · complaint
2022-11-23 · FIREE0015Severity F · widespread; potential for more than minimal harm

Emergency Preparedness Deficiencies

Address subsistence needs for staff and patients.

Correction field: Deficient, Provider has date of correction · 2022-12-23
2022-11-23 · HEALTHF0656Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Correction field: Deficient, Provider has date of correction · 2022-12-23
03 / ENFORCEMENT FILE

Penalties reported by CMS

Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.

DateTypeFine amountPayment-denial days
No penalty row appeared in the August 2026 penalties file.
04 / OWNERSHIP DISCLOSURES

Who appears in the CMS file

  • FLANK, EITANIndividual · 5% OR GREATER DIRECT OWNERSHIP INTEREST
    20% · since 06/10/2022
  • FLANK, LIATIndividual · 5% OR GREATER DIRECT OWNERSHIP INTEREST
    20% · since 06/10/2022
  • FLANK, MATANIndividual · 5% OR GREATER DIRECT OWNERSHIP INTEREST
    20% · since 06/10/2022
  • FLANK, SHAULIndividual · 5% OR GREATER DIRECT OWNERSHIP INTEREST
    20% · since 06/10/2022
  • SAUSEN, JOELIndividual · 5% OR GREATER DIRECT OWNERSHIP INTEREST
    20% · since 06/10/2022
  • FLANK, EITANIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 11/19/2009
  • FLANK, LIATIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 11/19/2009
  • FLANK, MATANIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 11/19/2009
  • FLANK, SHAULIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 11/19/2009
  • SAUSEN, JOELIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 11/19/2009
  • SHILLER, DANIELIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 01/01/2010
  • PROGRESSIVE QUALITY CARE INCOrganization · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 01/01/2013
  • JAIN, SUSHILIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 06/19/2013
  • NEDOLAST, SIDNEYIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 09/16/2021
  • PROGRESSIVE QUALITY CARE INCOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 12/30/2024
  • FLANK, EITANIndividual · ADP OF THE SNF
    NOT APPLICABLE · since 01/15/2025
  • FLANK, LIATIndividual · ADP OF THE SNF
    NOT APPLICABLE · since 12/03/2024
  • FLANK, MATANIndividual · ADP OF THE SNF
    NOT APPLICABLE · since 12/03/2024

Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.

05 / CMS STAFFING FIELDS

Reported hours and turnover

Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.

Total nurse hours3.67per resident day
RN hours0.63per resident day
Weekend nurse hours3.33per resident day
Staff turnover50.0%CMS reported field
BEFORE A CARE DECISION

Verify the current record and visit in person.

Use this ledger to frame questions—not to choose care on its own. Recheck Medicare Care Compare, contact the state survey agency and long-term care ombudsman, and ask the facility about anything you find.