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Nursing HomeMedicaid

Strongsville Healthcare and Rehabilitation

Strong Medicare quality ratings; families often praise modern, hotel-like facility design. Still worth an in-person visit.

18936 Pearl Road, Strongsville, OH 4413699 bedsLicensed & Active
4/5
Medicare
Inspection
Quality
Staffing
Google rating
4.3/5

based on 157 Google reviews

5
4
3
2
1
Strongsville Healthcare and Rehabilitation Nursing Home in Strongsville, OH — Street View
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What this means for your family

While the facility is physically beautiful and offers excellent therapy services, the recurring reports of severe understaffing and reliance on temporary agency workers are significant red flags. If you choose this facility, we strongly recommend visiting during off-hours and weekends to verify that your loved one's basic needs for hygiene and assistance will be met consistently.

Google Reviews

Google Reviews

157 reviews on Google
The Avenue at Strongsville is a modern, visually impressive facility that receives high praise for its cleanliness, amenities, and the kindness of its core staff. However, families frequently report significant concerns regarding chronic understaffing, reliance on temporary agency workers, and inconsistent quality of care, particularly during nights and weekends.

Quality Themes

Tap a score for details
Food7.0Staff5.0Clean9.0Activities8.0Meds4.0Memory4.0Comms6.0ValueN/A

Strengths

  • Modern, hotel-like facility design
  • Clean and well-maintained environment
  • Responsive and compassionate administrative staff
  • Effective physical and occupational therapy programs

Concerns

  • Chronic understaffing leading to long response times for call lights (mentioned by 12 reviewers)
  • High reliance on temporary agency staff who are unfamiliar with residents (mentioned by 7 reviewers)
  • Neglect of basic needs (e.g., hygiene, feeding assistance, repositioning) (mentioned by 8 reviewers)
  • Inconsistent communication and medical oversight (mentioned by 4 reviewers)

Rating Trends

Tap a year to see what changed

2345.02022(8)3.32023(29)4.62024(34)4.62025(79)2.32026(9)

Distribution · 159 analyzed

5
127
4
3
3
0
2
1
1
28
51 reviews posted between Jun 27, 2025Jul 3, 2025 · 47 were 5-star
37 reviews posted between Jun 29, 2025Jul 3, 2025 · 34 were 5-star

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1Given that the facility relies on temporary agency staff at times, what specific steps do you take to ensure these caregivers are familiar with a resident's unique care plan and personal preferences?
  • 2I noticed the staffing rating is lower than other areas; how do you manage call light response times during shift changes or peak hours to ensure residents aren't waiting too long for assistance?
  • 3Could you walk me through your process for medication management and how you ensure consistent oversight, especially when a resident has complex health needs?
  • 4Since the facility has a modern, hotel-like design, how do you balance that environment with the specialized needs of residents requiring memory care?
  • 5What is your protocol for keeping families informed about changes in a resident's medical status, and how do you ensure that communication remains consistent?
  • 6How do you ensure that basic daily needs, such as hygiene and repositioning, are consistently met regardless of daily staffing fluctuations?

Personalized based on this facility's data


Key Review Excerpts

The aides were wonderful but the nurses ca

Long-term resident's family · 2023★★★★★

The Avenue at Strongsville provides great activities for their residents and the community. They are so involved with the community of Strongsville. Management staff truly cares for the residents living in the facility and do what they can do provide the best care for them!

Community member/Visitor · 2025★★★★★

The physical and occupational therapy group was wonderful many thanks to Andrea Sam Julia Jeremy Emily Debbie and Brigit they work very hard to try and get everyone in to keep them moving.

Rehab patient · 2026★★★★★
Source: 157 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.72hrs
96%
Registered nurses for medical care
Total Nursing
3.00hrs
73%
All nurses + aides combined
Staff Turnover
57%
Lower is better (< 30% = good)
RN Turnover
27%
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

10

measures

Worse Than Avg

4

measures

Mixed Results

3

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility73.5%
Worse than Avg
Here
73.5%
US
12.1%
OH
28.2%
Cuyahoga
33.0%

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

🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility6.1%
Better than Avg
Here
6.1%
US
19.4%
OH
21.6%
Cuyahoga
20.6%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility2.7%
Better than Avg
Here
2.7%
US
15.3%
OH
6.9%
Cuyahoga
5.3%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility3.2%
Better than Avg
Here
3.2%
US
14.4%
OH
5.8%
Cuyahoga
4.9%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility5.3%
Better than Avg
Here
5.3%
US
15.4%
OH
9.4%
Cuyahoga
8.1%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility97.7%
Better than Avg
Here
97.7%
US
95.5%
OH
94.5%
Cuyahoga
90.6%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility55.1%
Worse than Avg
Here
55.1%
US
79.7%
OH
75.6%
Cuyahoga
63.3%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility80.4%
Mixed vs Avgs
Here
80.4%
US
81.8%
OH
78.4%
Cuyahoga
65.3%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
OH
1.2%
Cuyahoga
1.3%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

6deficiencies
2penalties
Near state avg (10.1)
15 complaint-triggered
$27,254 in fines

This facility has concerning patterns with 15 complaint-triggered deficiencies indicating families have repeatedly reported problems. Most troubling are recurring issues with resident protection from abuse and neglect, accident hazards and safety supervision, and medication management errors. Recent complaints in 2024 show ongoing problems with safety supervision and abuse reporting despite corrections, suggesting persistent challenges in protecting vulnerable residents from harm.

Sep 27, 2025Complaint
1
0561Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Mar 6, 2025Complaint
4
0725Potential for harm · PatternCorrected

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.

0558Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Dec 10, 2024Complaint
2
0689Immediate jeopardy · IsolatedResolved (past non-compliance)

Quality of Life and Care Deficiencies

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

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Nov 14, 2024Complaint
2
0600Immediate jeopardy · IsolatedResolved (past non-compliance)

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.

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.

May 6, 2024Complaint
1
0695Potential for harm · IsolatedResolved (past non-compliance)

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

Feb 29, 2024Routine
11
0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0363Potential for harm · WidespreadCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0711Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Provide a written emergency evacuation plan.

0741Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

0550Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0803Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

0920Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0584Potential for harm · IsolatedCorrected

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.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0758Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Federal Penalties

Fine

Nov 14, 2024

$13,627

Fine

Nov 14, 2024

$13,627

Ownership & Operations

Who Operates This Facility

Owner / Operator

Strongsville Healthcare and Rehabilitation

Organization Type

for profit

Chain Affiliation

Chain Name

Progressive Quality Care

Chain Size

11 facilities nationwide

Chain avg rating: 2.4/5 · Rank 3 of 11 (Best)

Ownership & Management

Owners

Strongsville Fk Healthcare Holdings LLC

Owner · Organization

100%

Mike Flank Trust

Owner (parent company) · Organization

Strongsville Fk Investor, LLC

Owner (parent company) · Organization

Flank, Eitan

Owner (parent company)

Flank, Liat

Owner (parent company)

Flank, Matan

Owner (parent company)

Flank, Shaul

Owner (parent company)

Guttman, Bezalel

Owner (parent company)

Katz, Eliyohu

Owner (parent company)

Katz, Yosef

Owner (parent company)

Sausen, Joel

Owner (parent company)

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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