# The Avenue Care and Rehabilitation Center

The Avenue Care and Rehabilitation Center is a Medicare/Medicaid-certified nursing home (Nursing home · SNF / NF) in Warrensville Heights, OH, CMS Certification Number 366394, with 97 certified beds and about 81 residents per day. CMS rates it 1/5 overall (health inspections 1/5, staffing 1/5, quality measures 4/5).

## Key facts
- Status: Active CMS certification
- Address: 4120 Interchange Corporate Center Road, Warrensville Heights, OH 44128 (Cuyahoga County)
- Ownership type: For profit - Limited Liability company

- Operator (legal business name): [Progressive Interchange Healthcare LLC](https://carefield.site/operator/op-progressive-interchange-healthcare-llc)
- CMS chain: [Progressive Quality Care](https://carefield.site/chain/cms-chain-427) — 11 facilities

- Phone: 2168969900
- Medicare Care Compare: https://www.medicare.gov/care-compare/details/nursing-home/366394

## Inspection record
15 inspections in the CMS window (latest 2026-08-11); 88 citations (54 health, 34 fire safety); 2 at actual harm and 1 at immediate jeopardy; 0 without a verified correction at last report. CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years; no citation in that window is not proof of a clean history.
- 2025-01-10 — [F-0689](https://carefield.site/deficiency/cms-f0689) Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. — scope/severity J (Immediate jeopardy to resident health or safety); Past non-compliance; complaint survey
- 2024-04-25 — [F-0689](https://carefield.site/deficiency/cms-f0689) Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. — scope/severity G (Actual harm (not immediate jeopardy)); Corrected; complaint survey
- 2023-11-21 — [F-0760](https://carefield.site/deficiency/cms-f0760) Ensure that residents are free from significant medication errors. — scope/severity G (Actual harm (not immediate jeopardy)); Corrected; complaint survey
- 2026-08-11 — [F-0677](https://carefield.site/deficiency/cms-f0677) Provide care and assistance to perform activities of daily living for any resident who is unable. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected; complaint survey
- 2026-08-11 — [F-0684](https://carefield.site/deficiency/cms-f0684) Provide appropriate treatment and care according to orders, resident’s preferences and goals. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected; complaint survey
- 2025-12-18 — [F-0691](https://carefield.site/deficiency/cms-f0691) Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected; complaint survey
- 2025-12-18 — [F-0839](https://carefield.site/deficiency/cms-f0839) Employ staff that are licensed, certified, or registered in accordance with state laws. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected; complaint survey
- 2025-10-29 — [F-0580](https://carefield.site/deficiency/cms-f0580) Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.)  that affect the resident. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected; complaint survey
- 2025-10-29 — [F-0677](https://carefield.site/deficiency/cms-f0677) Provide care and assistance to perform activities of daily living for any resident who is unable. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected; complaint survey
- 2025-10-29 — [F-0725](https://carefield.site/deficiency/cms-f0725) Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected; complaint survey
- 2025-10-29 — [F-0880](https://carefield.site/deficiency/cms-f0880) Provide and implement an infection prevention and control program. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected; complaint survey
- 2025-10-06 — [F-0600](https://carefield.site/deficiency/cms-f0600) Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected; complaint survey
- 2025-08-13 — [K-0222](https://carefield.site/deficiency/cms-k0222) 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. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected
- 2025-08-13 — [K-0324](https://carefield.site/deficiency/cms-k0324) Provide properly protected cooking facilities. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected
- 2025-08-13 — [K-0345](https://carefield.site/deficiency/cms-k0345) Have approved installation, maintenance and testing program for fire alarm systems. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected
- 2025-08-13 — [K-0353](https://carefield.site/deficiency/cms-k0353) Inspect, test, and maintain automatic sprinkler systems. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected
- 2025-08-13 — [K-0511](https://carefield.site/deficiency/cms-k0511) Have properly installed electrical wiring and gas equipment. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected
- 2025-08-13 — [K-0741](https://carefield.site/deficiency/cms-k0741) Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected
- 2025-08-13 — [K-0914](https://carefield.site/deficiency/cms-k0914) Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected
- 2025-08-13 — [K-0916](https://carefield.site/deficiency/cms-k0916) Have a battery powered remote alarm panel in a location accessible by operating personnel. — scope/severity F (No actual harm, potential for more than minimal harm); Corrected
- …and 68 more on the source page.

## Penalties
- 2025-01-10 — Civil money penalty (fine): $17,345
- 2024-04-25 — Civil money penalty (fine): $16,801

## Staffing (PBJ, hours per resident per day)
- Total nurse: 3.04996 (state avg 3.71117, US 3.90085)
- RN: 0.38802
- Nursing staff turnover: 66.7%

## Owners and managers of record (CMS disclosures)
- [Progressive Interchange LLC](https://carefield.site/owner/org-progressive-interchange-llc) — Direct owner, 100%, since 2009-01-31
- [Flank Real Estate, LLC](https://carefield.site/owner/org-flank-real-estate-llc) — Indirect owner, 29%, since 2009-01-31
- Steve Greenburg — Indirect owner, 27%, since 2009-01-31
- [Mike Flank Trust](https://carefield.site/owner/org-mike-flank-trust) — Indirect owner, 21%, since 2022-09-09
- [Progressive Quality Care Inc](https://carefield.site/owner/org-progressive-quality-care-inc) — Operational / managerial control, since 2009-01-31
- Rajesh Agarwal — Operational / managerial control, since 2011-10-01
- Eitan Flank — Operational / managerial control, since 2009-01-31
- Elizabeth Lesher — Operational / managerial control, since 2021-06-21

## Nearby nursing homes
- [Harvard Gardens Rehabilitation & Care Center](https://carefield.site/facility/cms-365828) — 1 km, CMS overall 2/5
- [Suburban Healthcare and Rehabilitation](https://carefield.site/facility/cms-365215) — 1 km, CMS overall 1/5
- [Phoenix of Maple Heights](https://carefield.site/facility/cms-365520) — 2.4 km, CMS overall 2/5
- [Shaker Gardens Nursing and Rehabilitation Center](https://carefield.site/facility/cms-366021) — 2.6 km, CMS overall 4/5
- [Beachwood Pointe Care Center](https://carefield.site/facility/cms-365071) — 3.9 km, CMS overall 2/5
- [Daughters of Miriam Center for Nursing & Rehabilit](https://carefield.site/facility/cms-365046) — 4 km, CMS overall 2/5
- [Jennings Hall](https://carefield.site/facility/cms-366045) — 6.2 km, CMS overall 3/5
- [Solon Pointe at Emerald Ridge](https://carefield.site/facility/cms-366179) — 6.8 km, CMS overall 2/5

## Sources
- cms_provider_info: https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=366394&conditions%5B0%5D%5Boperator%5D=%3D
- cms_ownership: https://data.cms.gov/provider-data/api/1/datastore/query/y2hd-n93e/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=366394&conditions%5B0%5D%5Boperator%5D=%3D
- cms_health_deficiencies: https://data.cms.gov/provider-data/api/1/datastore/query/r5ix-sfxw/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=366394&conditions%5B0%5D%5Boperator%5D=%3D
- cms_fire_safety_deficiencies: https://data.cms.gov/provider-data/api/1/datastore/query/ifjz-ge4w/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=366394&conditions%5B0%5D%5Boperator%5D=%3D
- cms_penalties: https://data.cms.gov/provider-data/api/1/datastore/query/g6vv-u9sr/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=366394&conditions%5B0%5D%5Boperator%5D=%3D
- cms_inspection_dates: https://data.cms.gov/provider-data/api/1/datastore/query/svdt-c123/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=366394&conditions%5B0%5D%5Boperator%5D=%3D

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Source page: https://carefield.site/facility/cms-366394 · Carefield — Senior Care Intelligence. Facts come from the CMS Provider Data Catalog (Medicare/Medicaid-certified nursing homes). Missing data never means no issue exists.