01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-08-13 | 33 | 2025-08-13 | 9 |
| Cycle 2 | 2023-05-24 | 10 | 2023-05-24 | 13 |
| Cycle 3 | 2019-08-22 | 10 | 2019-08-22 | 12 |
CMS CCN 3663942026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Avenue Care And Rehabilitation Center, The
4120 Interchange Corporate Center Road · Warrensville Heights, OH 44128 · Cuyahoga County
Certified beds97CMS provider file
Recent citation rows87current CMS citation release
Penalty rows2current 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.
02 / CITATION DETAIL
87 rows in the current release
3 rows carry G–L scope/severity codes; 1 carry J–L. 19 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-12-18 · HEALTHF0691Severity D · isolated; 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.
Correction field: Deficient, Provider has date of correction · 2025-12-19 · complaint2025-12-18 · HEALTHF0839Severity F · widespread; potential for more than minimal harm
Administration Deficiencies
Employ staff that are licensed, certified, or registered in accordance with state laws.
Correction field: Deficient, Provider has date of correction · 2025-12-19 · complaint2025-10-29 · 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 · 2025-12-18 · complaint2025-10-29 · HEALTHF0677Severity E · pattern; 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.
Correction field: Deficient, Provider has date of correction · 2025-12-18 · complaint2025-10-29 · HEALTHF0725Severity E · pattern; 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.
Correction field: Deficient, Provider has date of correction · 2025-12-18 · complaint2025-10-29 · HEALTHF0880Severity E · pattern; 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 · 2025-12-18 · complaint2025-10-06 · HEALTHF0600Severity D · isolated; 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.
Correction field: Deficient, Provider has date of correction · 2025-12-18 · complaint2025-08-13 · HEALTHF0550Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Correction field: Deficient, Provider has date of correction · 2025-12-18 · complaint2025-08-13 · HEALTHF0558Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Correction field: Deficient, Provider has date of correction · 2025-12-18 · complaint2025-08-13 · 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 · 2025-12-18 · complaint2025-08-13 · HEALTHF0582Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Correction field: Deficient, Provider has date of correction · 2025-12-182025-08-13 · HEALTHF0627Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Correction field: Deficient, Provider has date of correction · 2025-12-18 · complaint2025-08-13 · HEALTHF0628Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Correction field: Deficient, Provider has date of correction · 2025-12-182025-08-13 · HEALTHF0637Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Assess the resident when there is a significant change in condition
Correction field: Deficient, Provider has date of correction · 2025-12-182025-08-13 · HEALTHF0646Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
Correction field: Deficient, Provider has date of correction · 2025-12-182025-08-13 · HEALTHF0655Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Correction field: Deficient, Provider has date of correction · 2025-12-182025-08-13 · HEALTHF0657Severity E · pattern; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Correction field: Deficient, Provider has date of correction · 2025-12-182025-08-13 · HEALTHF0677Severity D · isolated; 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.
Correction field: Deficient, Provider has date of correction · 2025-12-18 · complaint2025-08-13 · 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 · 2025-12-182025-08-13 · 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 · 2025-12-18 · complaint2025-08-13 · 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 · 2025-12-18 · complaint2025-08-13 · HEALTHF0690Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Correction field: Deficient, Provider has date of correction · 2025-12-18 · complaint2025-08-13 · HEALTHF0695Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2025-12-182025-08-13 · HEALTHF0727Severity F · widespread; 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.
Correction field: Deficient, Provider has date of correction · 2025-12-18 · complaint03 / 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.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2025-01-10 | Fine | $17,345 | 0 |
| 2024-04-25 | Fine | $16,801 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- PROGRESSIVE INTERCHANGE LLCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 01/31/2009
- FLANK REAL ESTATE, LLCOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST29% · since 01/31/2009
- MIKE FLANK TRUSTOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST21% · since 09/09/2022
- GREENBURG, STEVEIndividual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST27% · since 01/31/2009
- SHILLER, DANIELIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/31/2009
- PROGRESSIVE QUALITY CARE INCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/31/2009
- AGARWAL, RAJESHIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 10/01/2011
- FLANK, EITANIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/31/2009
- LESHER, ELIZABETHIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 06/21/2021
- FLANK REAL ESTATE, LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 01/31/2009
- MIKE FLANK TRUSTOrganization · ADP OF THE SNFNOT APPLICABLE · since 09/09/2022
- PROGRESSIVE QUALITY CARE INCOrganization · ADP OF THE SNFNOT APPLICABLE · since 11/19/2024
- AGARWAL, RAJESHIndividual · ADP OF THE SNFNOT APPLICABLE · since 11/01/2011
- FLANK, EITANIndividual · ADP OF THE SNFNOT APPLICABLE · since 01/31/2009
- GREENBURG, STEVEIndividual · ADP OF THE SNFNOT APPLICABLE · since 01/31/2009
- LESHER, ELIZABETHIndividual · ADP OF THE SNFNOT APPLICABLE · since 06/21/2021
- SHILLER, DANIELIndividual · ADP OF THE SNFNOT APPLICABLE · since 01/31/2009
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 hours3.58per resident day
RN hours0.52per resident day
Weekend nurse hours3.26per resident day
Staff turnover67.5%CMS reported field
06 / LOCAL RECORDS
Open the Ohio ledger →Other published facilities nearby
No second facility in the same city met the directory rule.