Avenue at North Ridgeville
A nursing home in North Ridgeville, Ohio 44039
6200 Lear Nagle Road, North Ridgeville, Ohio 44039. (440) 412-7100.
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The short answer
Record last released by CMS on Oct 28, 2026.
- 2of 5 CMS’s overall rating
- 15 health citations at the latest inspection cycle Ohio average: 10.5
- 3.92 nurse hours per resident per day Ohio average: 3.71
- 3 fines in the last three years (needs attention)
Each figure’s source sits beside it, in its section below.
What these words mean8
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
- Scope and severity (A to L)
- CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
- Nurse staffing hours
- The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
- Fines and payment denials
- A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
- Immediate jeopardy
- CMS’s most serious finding: the place’s failure to meet a rule caused, or was likely to cause, serious injury, harm, impairment or death to someone in its care. Source: CMS; 42 CFR 489.3.
- Capacity
- The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.
What did inspectors find?
15 health citations at the latest inspection cycle
The Ohio average is 10.5.
Last standard inspection Jun 29, 2026.
Most serious in three years: immediate jeopardy to health or safety (J), at a complaint inspection on Feb 15, 2024
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
28 citations in 7 months of the last 36. Last cited Aug 2026. Most serious: immediate jeopardy to health or safety (J). The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
All 30 citations in the last three years
Grouped by inspection, newest first. Each carries CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7)., from A, the least serious, to L, the most. 28 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Aug 5, 2026: complaint inspection2 citations
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Provide care and assistance to perform activities of daily living for any resident who is unable.
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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Jun 29, 2026: standard inspection2 citations
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Provide special eating equipment and utensils for residents who need them and appropriate assistance.
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Provide and implement an infection prevention and control program.
Jun 29, 2026: standard and complaint inspection6 citations
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Provide immediate access to any resident.
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Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
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Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Dec 17, 2025: complaint inspection7 citations
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Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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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.
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Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
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Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
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Ensure medication error rates are not 5 percent or greater.
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Ensure that residents are free from significant medication errors.
Sep 4, 2024: complaint inspection1 citation
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Post nurse staffing information every day.
May 10, 2024: complaint inspection2 citations
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Apr 9, 2024: complaint inspection6 citations
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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Assess the resident when there is a significant change in condition
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Create and put into place a plan for meeting the resident’s most immediate needs within 48 hours of being admitted
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Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Feb 15, 2024: complaint inspection2 citations
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Verify that a nurse aide has been trained; and if they haven’t worked as a nurse aide for 2 years, receive retraining.
Nov 28, 2023: complaint inspection2 citations
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Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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Ensure that residents are free from significant medication errors.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Jun 17, 2020.
- Not on CMS’s special focus list.
- No abuse icon from CMS.
- No change of ownership in the last 12 months.
- CMS lists its ownership as for profit, limited liability company.
- 103 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- 3 fines in the last three years, $139,370 in all.
- 2 Medicare payment denials in the last three years.
- 28 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
| Date | Kind | Amount |
|---|---|---|
| Jun 29, 2026 | Medicare payment denial | Not given |
| Jun 29, 2026 | Fine | $70,980 |
| Apr 9, 2024 | Medicare payment denial | Not given |
| Apr 9, 2024 | Fine | $58,351 |
| Feb 15, 2024 | Fine | $10,039 |
Who does the caring?
3.92 nurse hours per resident per day
The Ohio average is 3.71.
CMS publishes staffing about four months after the fact.
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | This home | Ohio average |
|---|---|---|
| Nurse hours per resident per day | 3.92 | 3.71 |
| Of which registered nurses | 0.61 | 0.64 |
| At weekends | 3.61 | 3.29 |
| Nursing staff turnover | 50.5% | 49% |
| Registered nurse turnover | 37.5% | 44.4% |
| Administrators who left | 0 | Not given |
Who owns it?
- Progressive North Ridgeville Partners, LLC owns 100% directly since Jun 21, 2018.
- Progressive Quality Care Inc. runs it.
- 21 owners or officers are people: Vito Colonna (owns 5% or more through other companies, 25%); Julian Colonna (owns 5% or more through other companies, 25%); Shaul Flank (owns 5% or more through other companies, 7.5%); Eitan Flank (owns 5% or more through other companies, 7.5%); Matan Flank (owns 5% or more through other companies, 7.5%); Liat Flank (owns 5% or more through other companies, 7.5%); Joel Sausen (owns 5% or more through other companies, 7.5%); Vito Colonna (corporate officer); Kathryn Dorsey (runs it (operational or managerial control)); Kathryn Dorsey (additional disclosable party (controls, leases property to, or provides services to the home)); Shaul Flank (corporate officer); Eitan Flank (corporate officer); Eitan Flank (runs it (operational or managerial control)); Eitan Flank (additional disclosable party (controls, leases property to, or provides services to the home)); Daniel Shiller (corporate officer); Daniel Shiller (additional disclosable party (controls, leases property to, or provides services to the home)); Matan Flank (corporate officer); Jayantilal Bhimani (runs it (operational or managerial control)); Jayantilal Bhimani (additional disclosable party (controls, leases property to, or provides services to the home)); Liat Flank (corporate officer); Julian Colonna (corporate officer).
- Part of Progressive Quality Care (11 homes in CMS’s data).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, All Owners. Checked Nov 5, 2026. Updated monthly.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Progressive North Ridgeville Partners, LLC | Owns 5% or more directly | 100% | Jun 21, 2018 |
| Mike Flank Trust | Owns 5% or more through other companies | 12.5% | Sep 9, 2022 |
| Mike Flank Trust | Additional disclosable party (controls, leases property to, or provides services to the home) | Sep 9, 2022 | |
| Progressive Quality Care Inc. | Runs it (operational or managerial control) | Jun 15, 2018 | |
| Progressive Quality Care Inc. | Additional disclosable party (controls, leases property to, or provides services to the home) | May 13, 2025 |
How do residents fare?
- CMS rates its quality measures 5 of 5 (Ohio average 4.5).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 2 of 5 |
| Health inspections | 1 of 5 |
| Staffing | 2 of 5 |
| Quality measures | 5 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 4.9 miles, this one had the 4th most health citations at the latest inspection cycle (15; the middle value was 6).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Avenue at North Ridgeville This nursing home | 15 | |
| Northridge Rehabilitation and Care Center | 1.6 | 23 |
| Crocker Pointe Health and Rehabilitation | 3.1 | Not given |
| Joshua Tree Care Center | 3.5 | 5 |
| O’neill Healthcare North Ridgeville | 3.6 | 1 |
| Brookdale Westlake Village | 3.7 | 6 |
| Avon Place Healthcare Center | 3.7 | 25 |
| Health Center at the Renaissance | 3.9 | 5 |
| St Mary of the Woods | 4.1 | 2 |
| Avon Oaks Nursing Home | 4.4 | 7 |
| Village of the Falls | 4.6 | 0 |
| Rae Ann Suburban | 4.9 | 16 |
What the record doesn’t say
- Complaints that didn’t lead to a citation aren’t published.
- Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
- CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
- Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.
Sources
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Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).
Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the home
The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.