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Nursing homeFAID #10196

The Avenue Care and Rehabilitation Center

4120 INTERCHANGE CORPORATE CENTER ROAD, WARRENSVILLE HEIGHTS, OH, 44128
(216) 896-9900
97 licensed beds
★★★★★1/5CMS Five-Star overall1/5 health inspections1/5 staffing4/5 quality measuresSource: CMS Care Compare

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Bed capacity
97
CMS facility ID
366394
Care type
Nursing home
County
Cuyahoga
Facility name
The Avenue Care and Rehabilitation Center
Street address
4120 INTERCHANGE CORPORATE CENTER ROAD
City / state / ZIP
Warrensville Heights, OH 44128
Phone
(216) 896-9900

The Avenue Care and Rehabilitation Center is a Medicare/Medicaid-certified skilled nursing facility in Warrensville Heights, Ohio. It is licensed for 97 beds — close to the median for skilled nursing facilities in Ohio (86 beds).

It is one of 4 senior care facilities in Warrensville Heights and 922 skilled nursing facilities across Ohio. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited The Avenue Care and Rehabilitation Center 87 times across 16 inspections in the last three years, including 2 food-safety citations, and CMS has imposed $34,146 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

What the public record shows.

Ownership & operator

Parent company
Progressive Quality Care
Ownership type
For profit - Limited Liability company

Registered owners & officers

Progressive Interchange Llc
Direct owner — 100% stake — since 2009
Flank Real Estate, Llc
Indirect owner · Additional disclosable party — 29% stake — since 2009
Greenburg, Steve
Indirect owner · Additional disclosable party — 27% stake — since 2009
Mike Flank Trust
Indirect owner · Additional disclosable party — 21% stake — since 2022
Agarwal, Rajesh
Operational control · Additional disclosable party — since 2011
Flank, Eitan
Operational control · Additional disclosable party — since 2009
Lesher, Elizabeth
Operational control · Additional disclosable party — since 2021
Progressive Quality Care Inc
Operational control · Additional disclosable party — since 2009
Shiller, Daniel
Officer · Additional disclosable party — since 2009

Regulatory standing

Federal court records
4 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
2010-10-18
CMS overall rating
1 of 5 stars
Health deficiencies
33 at the last standard inspection
Federal fines
$34,146 total
Last standard inspection
2025-08-13
Nurse staffing
3.6 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$377 per day (≈ $11,460/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
29% Medicaid · 5% Medicare · 66% private/other
Occupancy
85% (fiscal year 2023)
Vs. state median
4% above the OH median of $364/day — full state cost breakdown

Services & coverage

Licensed beds
97
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.
Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 2 food-safety citations on its three-year record — flagged below among the inspections.
2025-12-18Health inspectionComplaint-triggered2 citations
F-0691
D · No harm foundFrom a complaint
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Corrected 2025-12-19
F-0839
F · No harm foundFrom a complaint
Employ staff that are licensed, certified, or registered in accordance with state laws.
Corrected 2025-12-19
2025-10-29Health inspectionComplaint-triggered4 citations
F-0580
D · No harm foundFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-12-18
F-0677
E · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-12-18
F-0725
E · No harm foundFrom a complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2025-12-18
F-0880
E · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2025-12-18
12 earlier / fire-safety inspections (81 citations)
2025-10-06Health inspectionComplaint-triggered1 citation
F-0600
D · No harm foundFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-12-18
2025-08-13Health inspectionComplaint-triggered26 citations
F-0550
D · No harm foundFrom a complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-12-18
F-0558
D · No harm foundFrom a complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-12-18
F-0580
D · No harm foundFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-12-18
F-0582
D · No harm found
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2025-12-18
F-0627
D · No harm foundFrom a complaint
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected 2025-12-18
F-0628
D · No harm found
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected 2025-12-18
F-0637
D · No harm found
Assess the resident when there is a significant change in condition
Corrected 2025-12-18
F-0646
D · No harm found
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
Corrected 2025-12-18
F-0655
D · No harm found
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2025-12-18
F-0657
E · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2025-12-18
F-0677
D · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-12-18
F-0684
D · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-12-18
F-0686
D · No harm foundFrom a complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-12-18
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-12-18
F-0690
D · No harm foundFrom a complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2025-12-18
F-0695
D · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-12-18
F-0727
F · No harm foundFrom a complaint
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.
Corrected 2025-12-18
F-0732
C · No harm found
Post nurse staffing information every day.
Corrected 2025-12-18
F-0760
D · No harm foundFrom a complaint
Ensure that residents are free from significant medication errors.
Corrected 2025-12-18
F-0773
D · No harm foundFrom a complaint
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Corrected 2025-12-18
F-0812
E · No harm foundFood safetyFrom a complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-12-18
F-0842
E · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-12-18
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-12-18
F-0887
D · No harm found
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.
Corrected 2025-12-18
F-0908
D · No harm found
Keep all essential equipment working safely.
Corrected 2025-12-18
F-0921
F · No harm foundFrom a complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2025-12-18
2025-01-10Health inspectionComplaint-triggered2 citations
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-01-31
F-0689
J · Immediate jeopardyFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-12-29
2024-07-10Health inspectionComplaint-triggered2 citations
F-0558
E · No harm foundFrom a complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-07-30
F-0690
D · No harm foundFrom a complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2024-07-30
2024-04-25Health inspectionComplaint-triggered2 citations
F-0689
G · Actual harmFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-05-10
F-0760
D · No harm foundFrom a complaint
Ensure that residents are free from significant medication errors.
Corrected 2024-05-10
2023-11-21Health inspectionComplaint-triggered2 citations
F-0755
D · No harm foundFrom a complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-12-07
F-0760
G · Actual harmFrom a complaint
Ensure that residents are free from significant medication errors.
Corrected 2023-12-07
2023-09-07Health inspectionComplaint-triggered1 citation
F-0626
D · No harm foundFrom a complaint
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
Corrected 2023-09-19
2023-05-24Health inspection8 citations
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2023-06-30
F-0655
D · No harm found
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2023-06-30
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-06-30
F-0677
D · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-06-30
F-0686
D · No harm found
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-06-30
F-0689
D · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-06-30
F-0812
F · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-06-30
F-0842
D · No harm found
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2023-06-30
2019-08-22Health inspection3 citations
F-0688
D · No harm found
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2019-09-20
F-0842
D · No harm found
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2019-09-20
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2019-09-20
2025-08-13Fire-safety inspection9 citations
K-0222
F · No harm found
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2025-12-09
K-0324
E · No harm found
Provide properly protected cooking facilities.
Corrected 2025-12-09
K-0345
F · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-12-09
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-12-09
K-0511
E · No harm found
Have properly installed electrical wiring and gas equipment.
Corrected 2025-12-09
K-0741
E · No harm found
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2025-12-09
K-0914
F · No harm found
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2025-12-09
K-0916
F · No harm found
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Corrected 2025-12-09
K-0923
E · No harm found
Have proper medical gas storage and administration areas.
Corrected 2025-12-09
2023-05-24Fire-safety inspection13 citations
K-0211
E · No harm found
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-06-30
K-0311
F · No harm found
Have an enclosure around a vertical opening shaft.
Corrected 2023-06-30
K-0324
F · No harm found
Provide properly protected cooking facilities.
Corrected 2023-06-30
K-0347
F · No harm found
Properly provide smoke detection systems in areas open to corridors.
Corrected 2023-06-30
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-06-30
K-0511
E · No harm found
Have properly installed electrical wiring and gas equipment.
Corrected 2023-06-30
K-0521
F · No harm found
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-06-30
K-0741
F · No harm found
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2023-06-30
K-0753
F · No harm found
Have restrictions on the use of highly flammable decorations.
Corrected 2023-06-30
K-0917
F · No harm found
Ensure electrical receptacles or cover plates have distinctive color or marking.
Corrected 2023-06-30
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-06-30
K-0920
F · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2023-06-30
K-0923
F · No harm found
Have proper medical gas storage and administration areas.
Corrected 2023-06-30
2019-08-22Fire-safety inspection12 citations
E-0009
C · No harm found
Include a process for Emergency Preparedness collaboration.
Corrected 2019-09-20
E-0015
C · No harm found
Address subsistence needs for staff and patients.
Corrected 2019-09-20
K-0321
E · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2019-09-20
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-09-20
K-0363
E · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2019-09-20
K-0372
E · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2019-09-20
K-0521
E · No harm found
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2019-09-20
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2019-09-20
K-0761
F · No harm found
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2019-09-20
K-0781
E · No harm found
Have restrictions on the use of portable space heaters.
Corrected 2019-09-20
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2019-09-20
K-0920
E · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2019-09-20

Federal penalties

2025-01-10Fine$17,345
2024-04-25Fine$16,801
Total fines$34,146
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 366394.
What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 87 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered