All states › Ohio › Warrensville Heights › The Avenue Care and Rehabilitation Center
4120 Interchange Corporate Center Road Warrensville Heights, OH 44128 · Cuyahoga County
CMS certification number 366394 · See this home on Medicare Care Compare
Is The Avenue Care and Rehabilitation Center a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for The Avenue Care and Rehabilitation Center as of October 2026.
CMS rates it 1 out of 5 stars overall, below the Ohio average of 3.2.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.05 hours per resident per day at The Avenue Care and Rehabilitation Center, below the Ohio median of 3.58 (US median: 3.72). About 0.39 of those hours are from registered nurses. On weekends it falls to 2.68 hours, 12% below its all-week average. 66.7% of nursing staff left within a year (Ohio median 48.9%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there.
About this nursing home
Paying for care at The Avenue Care and Rehabilitation Center: Medicare and Medicaid
The Avenue Care and Rehabilitation Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Ohio's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on August 13, 2025 and found 12 deficiencies, plus 23 from complaint inspections in the same period. In total, inspectors issued 54 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 54 citations at The Avenue Care and Rehabilitation Center across 11 inspection dates, 31 of them from complaint investigations. 1 was at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on January 10, 2025 (complaint inspection). The most common areas cited were quality of life and care (17) and resident assessment and care planning (10). The most serious was cited under the CMS rule to "ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents" (tag F0689, level J, January 10, 2025). 2 citations were under CMS's abuse, neglect and exploitation rules.
August 11, 2026 · 2 citations · includes complaint inspection
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
December 18, 2025 · 2 citations · includes complaint inspection
FEmploy staff that are licensed, certified, or registered in accordance with state laws.
DProvide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
October 29, 2025 · 4 citations · includes complaint inspection
EProvide care and assistance to perform activities of daily living for any resident who is unable.
EProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
EProvide and implement an infection prevention and control program.
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
October 6, 2025 · 1 citation · includes complaint inspection
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
August 13, 2025 · 26 citations · includes complaint inspection
FHave 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.
FMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
EDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
ESafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DReasonably accommodate the needs and preferences of each resident.
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
DEnsure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
DProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
DAssess the resident when there is a significant change in condition
DNotify the appropriate authorities when residents with MD or ID services has a significant change in condition.
DCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
DProvide safe and appropriate respiratory care for a resident when needed.
DEnsure that residents are free from significant medication errors.
DProvide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
DProvide and implement an infection prevention and control program.
DEducate 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.
DKeep all essential equipment working safely.
CPost nurse staffing information every day.
January 10, 2025 · 2 citations, includes immediate jeopardy · includes complaint inspection
JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
July 10, 2024 · 2 citations · includes complaint inspection
EReasonably accommodate the needs and preferences of each resident.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
April 25, 2024 · 2 citations, includes actual harm · includes complaint inspection
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DEnsure that residents are free from significant medication errors.
November 21, 2023 · 2 citations, includes actual harm · includes complaint inspection
GEnsure that residents are free from significant medication errors.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
May 24, 2023 · 8 citations
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DEnsure each resident receives an accurate assessment.
DCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
August 22, 2019 · 3 citations
DProvide 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.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
DProvide and implement an infection prevention and control program.
Questions to ask on a tour of The Avenue Care and Rehabilitation Center
- Inspectors cited the home at the immediate-jeopardy level on January 10, 2025 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on October 6, 2025. How are staff trained, and how are concerns reported?
- CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Nursing staff turnover was 66.7% a year. How many of the staff come from agencies?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
2 penalties in the last three years, including $34,146 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Jan 10, 2025 | Fine | $17,345 |
| Apr 25, 2024 | Fine | $16,801 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 1/5 | 1/5 | 4/5 |
| August 2026 | 1/5 | 1/5 | 1/5 | 4/5 |
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Location
Hospitals near The Avenue Care and Rehabilitation Center
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
-
0.6 mi
South Pointe Hospital Warrensville HeightsEmergency room ★★★★★ Medicare overall 5 of 5Median ER visit 2h 46m for patients treated and sent home
- 1.4 mi
-
2.7 mi
University Hospitals Ahuja Medical Center BeachwoodEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 4h 4m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near The Avenue Care and Rehabilitation Center › All nursing homes in Warrensville Heights ›
Compare The Avenue Care and Rehabilitation Center with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Gardens of McGregor and Amasa Stone · East Cleveland · 5 stars · 6.6 mi
- Northfield Village Retirement Community · Northfield · 5 stars · 7.2 mi
- St Augustine Manor · Cleveland · 5 stars · 9.0 mi
- Shaker Gardens Nursing and Rehabilitation Center · Shaker Heights · 4 stars · 1.6 mi
Other Progressive Quality Care nursing homes in Ohio
- Avenue at Medina · Medina · 5 stars
- Avenue at Aurora · Aurora · 5 stars
- Avenue at Broadview Heights · Broadview Heights · 3 stars
- Parma Care Center · Parma · 3 stars
- Strongsville Healthcare and Rehabilitation · Strongsville · 3 stars
- Avenue at Wooster · Wooster · 3 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 11 Progressive Quality Care nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.