Avenue at Macedonia
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 203 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (2/5 stars)
- Low staffing rating (2/5 stars)
- Above-median deficiencies (10 vs median 8.0)
- High staff turnover (56%)
Bottom 25% in OH · Below recommended RN staffing · $23,140 in fines
What this means for your family
The facility is physically impressive with private rooms and a strong admissions team, making it a visually appealing choice. However, families should be aware of recurring reports of understaffing and communication gaps; we strongly recommend visiting during off-hours or weekends to observe actual care levels before making a decision.
Google Reviews
Google Reviews
203 reviews on Google“The Avenue at Macedonia is a modern facility that receives high praise for its physical environment, cleanliness, and the professionalism of its admissions and administrative staff. However, families report significant, recurring concerns regarding understaffing, inconsistent quality of care, and poor communication during medical emergencies or routine needs.”
Quality Themes
Tap a score for detailsStrengths
- Modern, clean, and hotel-like facility
- Professional and welcoming admissions team
- Private rooms for all residents
- Effective physical therapy services
Concerns
- Chronic understaffing leading to neglect (mentioned by 8 reviewers)
- Poor communication and lack of responsiveness from staff (mentioned by 6 reviewers)
- Inedible, cold, or poor quality food (mentioned by 4 reviewers)
- Medication management errors (mentioned by 3 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 205 analyzed
How They Respond to Reviews
This facility rarely responds to reviews.
Questions for Your Tour
- 1Given the facility's modern design, how do you ensure that the high standard of the physical environment is matched by consistent, hands-on care throughout the day and night?
- 2I noticed some families have expressed concerns regarding communication; what is your protocol for keeping us updated on our loved one's daily status and any changes in their health?
- 3With the current staffing levels, how do you ensure that residents receive timely assistance with daily needs like hygiene and mobility?
- 4How does the kitchen team gather and implement feedback to ensure that meal quality meets the nutritional and personal preferences of the residents?
- 5Could you walk me through your process for medication management to ensure accuracy and safety for residents?
- 6What specific steps are taken to ensure that residents remain socially engaged and active within the facility beyond their physical therapy sessions?
Personalized based on this facility's data
Key Review Excerpts
“My husband has Dementia and he was transferred to Avenue at Macedonia. They have a unit just for Dementia patients. My husband fit right in because he had his own room and felt comfortable with the other patients and staff.”
“My mother was sent there for rehab she got Covid really bad she stopped eating and she could not walk... she cannot drink on her own anytime we went there she was extremely thirsty because nobody could hold the cup for her so she could drink.”
“After two other nursing homes did not work out for my dad. He recently came to the Avenue of Macedonia to the dementia lockdown unit. I must say I’m impressed with this facility. The management greeted us upon arrival on the first day to schedule Care conferences with us.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
6
measures
6
measures
5
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents vaccinated for the flu
Residents whose walking got worse
Residents vaccinated for pneumonia
Residents needing more daily help over time
Residents on antipsychotic medication
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Avenue at Macedonia has faced ongoing issues with families filing multiple complaints, resulting in 17 complaint-triggered deficiencies across surveys. The facility shows persistent problems in daily care assistance, treatment planning, and safety protections, with recent complaints in 2024-2025 involving resident abuse protection and care planning. While all deficiencies show correction dates, the recurring nature of complaints about fundamental care areas suggests ongoing quality concerns that warrant careful consideration.
Feb 27, 2025Routine15
Smoke Deficiencies
Provide properly protected cooking facilities.
Services Deficiencies
Meet other general requirements that are deficient.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
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.
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Assist a resident in gaining access to vision and hearing services.
Quality of Life and Care Deficiencies
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Quality of Life and Care Deficiencies
Ensure the activities program is directed by a qualified professional.
Feb 27, 2025Complaint3
Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Jan 22, 2025Complaint1
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.
Nov 14, 2024Complaint2
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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.
Jul 29, 2024Complaint4
Smoke Deficiencies
Construct fire resistant interior walls.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
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.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Feb 13, 2024Complaint1
Resident Rights Deficiencies
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Federal Penalties
Payment Denial
Feb 27, 2025
4-day denial
Fine
Nov 14, 2024
$23,140
Ownership & Operations
Who Operates This Facility
Avenue at Macedonia
for profit
Chain Affiliation
Progressive Quality Care
11 facilities nationwide
Chain avg rating: 2.4/5 · Rank 7 of 11
Ownership & Management
Owners
Flank, Eitan
Owner
Flank, Liat
Owner
Flank, Matan
Owner
Flank, Shaul
Owner
Sausen, Joel
Owner
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
203 reviews from families & visitors
Official Website
Visit avenueatmacedonia.com
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
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