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Nursing HomeMedicaid Top Rated

Avenue at Medina

Strong Medicare quality ratings; families often praise modern, clean, and well-maintained facility. Still worth an in-person visit.

699 East Smith Road, Medina, OH 4425670 bedsLicensed & Active
5/5
Medicare
Inspection
Quality
Staffing
Google rating
3.9/5

based on 139 Google reviews

5
4
3
2
1
Avenue at Medina Nursing Home in Medina, OH — Street View
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What this means for your family

The Avenue at Medina offers a modern facility with a strong rehabilitation therapy team, which many families find beneficial for short-term recovery. However, due to consistent reports of slow response times and inconsistent nursing care, we strongly advise families to visit frequently, monitor for basic needs like hydration and hygiene, and maintain open communication with the social work department.

Google Reviews

Google Reviews

139 reviews on Google
The Avenue at Medina receives polarized feedback, with many residents and families praising the facility's modern, clean appearance and the effectiveness of its rehabilitation therapy programs. However, a significant number of reviewers report serious concerns regarding neglect, slow response times to call lights, and poor communication from nursing and administrative staff. Families considering this facility should be aware that while many have had positive experiences, there is a recurring pattern of complaints regarding understaffing and inconsistent quality of care.

Quality Themes

Tap a score for details
Food6.0Staff5.0Clean7.0Activities8.0Meds3.0MemoryN/AComms3.0Value3.0

Strengths

  • Modern, clean, and well-maintained facility
  • Effective physical and occupational therapy programs
  • Warm and attentive nursing staff (cited by many)
  • Helpful and professional social work and administrative team

Concerns

  • Slow or non-existent response to call lights (mentioned by 12 reviewers)
  • Understaffing leading to neglect of basic needs (hygiene, hydration, medication) (mentioned by 10 reviewers)
  • Poor communication from administration regarding care plans and discharge (mentioned by 6 reviewers)
  • Inconsistent or rude bedside manner from nursing staff (mentioned by 5 reviewers)

Rating Trends

Tap a year to see what changed

234'15(2)'18(2)'20(1)'22(7)'24(32)'26(8)

Distribution · 141 analyzed

5
100
4
2
3
1
2
2
1
36
19 reviews posted between Aug 25, 2025Aug 28, 2025 · 19 were 5-star
18 reviews posted between Feb 27, 2024Feb 29, 2024 · 15 were 5-star

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1Given that staffing levels can fluctuate, what specific protocols do you have in place to ensure call lights are answered promptly and resident needs are met in a timely manner?
  • 2How does your nursing team coordinate with families to ensure consistent communication regarding changes in a resident's care plan or medication management?
  • 3With the facility's focus on modern therapy programs, how are these services integrated into the daily routine for residents who may need extra support with mobility or hygiene?
  • 4Could you walk me through how your team handles medical emergencies or urgent health concerns during evening and weekend hours when administrative staff may be off-site?
  • 5What opportunities are available for residents to socialize and participate in activities, and how do you ensure that residents who require more assistance are still able to engage in these daily events?
  • 6How do you monitor the quality of bedside interactions to ensure that every resident consistently receives warm and professional care from all staff members?

Personalized based on this facility's data


Key Review Excerpts

The physical therapist was cheerful, efficient and worked with my mom to put her back on her feet

Rehab patient family member · 2023★★★★★

I listened and watched how they went into rooms of the elderly and bedridden and were cheery and compassionate to them. They took time to feed them.

Rehab patient · 2024★★★★★

The facility paid no attention to symptoms that he was exhibiting. Communication was terrible. One week after his release from the facility I took him to the ER where they found he was malnourished

Long-term resident's family · 2021☆☆☆☆
Source: 139 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.68hrs
91%
Registered nurses for medical care
Total Nursing
3.84hrs
94%
All nurses + aides combined
Staff Turnover
51%
Lower is better (< 30% = good)
RN Turnover
62%
Lower is better (< 30% = good)

Both 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

Medicare Rating
5/ 5
Better Than Avg

7

measures

Worse Than Avg

7

measures

Mixed Results

3

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility45.2%
Worse than Avg
Here
45.2%
US
12.1%
OH
28.2%
Medina
19.3%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility37.3%
Worse than Avg
Here
37.3%
US
19.5%
OH
25.4%
Medina
23.5%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility34.3%
Worse than Avg
Here
34.3%
US
19.4%
OH
21.6%
Medina
20.1%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility3.9%
Better than Avg
Here
3.9%
US
15.3%
OH
6.9%
Medina
7.1%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility19.8%
Worse than Avg
Here
19.8%
US
15.4%
OH
9.4%
Medina
11.5%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility6.3%
Mixed vs Avgs
Here
6.3%
US
14.4%
OH
5.8%
Medina
6.0%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility60.6%
Worse than Avg
Here
60.6%
US
81.8%
OH
78.4%
Medina
76.7%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility76.3%
Mixed vs Avgs
Here
76.3%
US
79.7%
OH
75.6%
Medina
72.4%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.4%
Better than Avg
Here
0.4%
US
1.6%
OH
1.2%
Medina
1.5%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

4deficiencies
Well below state avg (10.1)
12 complaint-triggered

Avenue at Medina has a concerning pattern of recurring issues with families filing multiple complaint reports that triggered recent inspections in 2024. The facility has persistent problems with infection control, care quality (including pain management and wound care), fire safety systems, and resident communication rights. While all deficiencies show correction dates, the repeated violations across the same care areas over multiple years suggest ongoing operational challenges that warrant careful consideration during your visit.

Feb 18, 2026Routine
10
0293Potential for harm · WidespreadCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

0324Potential for harm · WidespreadCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0372Potential for harm · WidespreadCorrected

Smoke Deficiencies

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

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0920Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0923Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0887Potential for harm · IsolatedCorrected

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.

Feb 18, 2026Complaint
1
0658Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

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

Dec 3, 2024Complaint
3
0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0697Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Jul 25, 2024Complaint
2
0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0807Potential for harm · IsolatedCorrected

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.

Jan 26, 2024Complaint
6
0684Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0565Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

0580Potential for harm · IsolatedCorrected

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.

0694Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0697Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Nov 23, 2022Routine
18
0880Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0015Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Address subsistence needs for staff and patients.

0324Potential for harm · WidespreadCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0880Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0015Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Address subsistence needs for staff and patients.

0324Potential for harm · WidespreadCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0761Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0761Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0656Potential for harm · IsolatedCorrected

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.

0657Potential for harm · IsolatedCorrected

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.

0690Potential for harm · IsolatedCorrected

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.

0656Potential for harm · IsolatedCorrected

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.

0657Potential for harm · IsolatedCorrected

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.

0690Potential for harm · IsolatedCorrected

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.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Avenue at Medina

Organization Type

for profit

Chain Affiliation

Chain Name

Progressive Quality Care

Chain Size

11 facilities nationwide

Chain avg rating: 2.4/5 · Rank 2 of 11 (Best)

Ownership & Management

Owners

Flank, Eitan

Owner

20%

Flank, Liat

Owner

20%

Flank, Matan

Owner

20%

Flank, Shaul

Owner

20%

Sausen, Joel

Owner

20%

Key personnel

Flank, EitanOfficer / DirectorFlank, LiatOfficer / DirectorFlank, MatanOfficer / DirectorFlank, ShaulOfficer / DirectorSausen, JoelOfficer / Director
Source: Medicare provider data

Contact

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References & Resources

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