Avenue at Brooklyn
A nursing home in Brooklyn, Ohio 44144
4700 Idlewood Drive, Brooklyn, Ohio 44144. (216) 465-3770.
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The short answer
Record last released by CMS on Oct 28, 2026.
- 2of 5 CMS’s overall rating
- 25 health citations at the latest inspection cycle Ohio average: 10.5
- 3.29 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?
25 health citations at the latest inspection cycle
The Ohio average is 10.5.
Last standard inspection Jul 30, 2026.
Most serious in three years: immediate jeopardy to health or safety (J), at a complaint inspection on Jun 2, 2025
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
60 citations in 10 months of the last 36. Last cited Jul 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 60 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. 43 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Jul 30, 2026: standard inspection7 citations
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Honor the resident’s right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
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Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
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Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident’s ability to function.
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Respond appropriately to all alleged violations.
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Develop and implement policies and procedures for flu and pneumonia vaccinations.
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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.
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Have policies on smoking.
Jul 30, 2026: standard and complaint inspection18 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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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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Protect each resident from the wrongful use of the resident’s belongings or money.
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Develop and implement policies and procedures to prevent abuse, neglect, and theft.
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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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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 appropriate treatment and care according to orders, resident’s preferences and goals.
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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 food/fluids to maintain a resident’s health.
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Provide safe, appropriate dialysis care/services for a resident who requires such services.
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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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Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
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Ensure that residents are free from significant medication errors.
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Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
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Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
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Provide special eating equipment and utensils for residents who need them and appropriate assistance.
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Administer the facility in a manner that enables it to use its resources effectively and efficiently.
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Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Jun 2, 2025: complaint inspection4 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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Ensure medication error rates are not 5 percent or greater.
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Ensure that residents are free from significant medication errors.
Feb 6, 2025: standard inspection10 citations
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Assist a resident in gaining access to vision and hearing services.
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Provide safe, appropriate dialysis care/services for a resident who requires such services.
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Provide care or services that was trauma informed and/or culturally competent.
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Ensure medication error rates are not 5 percent or greater.
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Dispose of garbage and refuse properly.
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Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
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Provide a neutral and fair arbitration process and agree to arbitrator and venue.
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Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
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Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Feb 6, 2025: standard and complaint inspection1 citation
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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.
Dec 31, 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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Provide and implement an infection prevention and control program.
Sep 16, 2024: complaint inspection1 citation
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Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Aug 6, 2024: complaint inspection5 citations
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Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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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.
-
Ensure that residents are free from significant medication errors.
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Provide and implement an infection prevention and control program.
Jun 18, 2024: complaint inspection1 citation
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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Apr 1, 2024: complaint inspection7 citations
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Honor the resident’s right to be treated with respect and dignity and to retain and use personal possessions.
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Provide immediate access to any resident.
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Develop and implement policies and procedures to prevent abuse, neglect, and theft.
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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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Respond appropriately to all alleged violations.
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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 activities to meet all resident’s needs.
Feb 1, 2024: complaint inspection3 citations
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Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
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Provide timely, quality laboratory services/tests to meet the needs of residents.
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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.
Dec 26, 2023: complaint inspection1 citation
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Honor the resident’s right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Nov 23, 2022.
- 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, corporation.
- 111 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- 3 fines in the last three years, $153,201 in all.
- No Medicare payment denials in the last three years.
- 43 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
| Date | Kind | Amount |
|---|---|---|
| Jul 30, 2026 | Fine | $96,900 |
| Jun 2, 2025 | Fine | $18,704 |
| Aug 6, 2024 | Fine | $37,597 |
Who does the caring?
3.29 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 | 3.29 | 3.71 |
| Of which registered nurses | 0.42 | 0.64 |
| At weekends | 3.14 | 3.29 |
| Nursing staff turnover | 55% | 49% |
| Registered nurse turnover | 21.4% | 44.4% |
| Administrators who left | 0 | Not given |
Who owns it?
- Brooklyn Fk Healthcare Holdings LLC owns 100% directly since Jun 25, 2020.
- Progressive Quality Care Inc. runs it.
- 21 owners or officers are people: Eliyohu Katz (owns 5% or more through other companies, 22.5%); Bezalel Guttman (owns 5% or more through other companies, 17.5%); Shaul Flank (owns 5% or more through other companies, 9%); Eitan Flank (owns 5% or more through other companies, 9%); Matan Flank (owns 5% or more through other companies, 9%); Liat Flank (owns 5% or more through other companies, 9%); Joel Sausen (owns 5% or more through other companies, 9%); Yosef Katz (owns 5% or more through other companies, 7.5%); Shaul Flank (additional disclosable party (controls, leases property to, or provides services to the home)); Christopher Joseph Thomas (runs it (operational or managerial control)); Christopher Joseph Thomas (additional disclosable party (controls, leases property to, or provides services to the home)); 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 (additional disclosable party (controls, leases property to, or provides services to the home)); Liat Flank (additional disclosable party (controls, leases property to, or provides services to the home)); Caron Potokar (runs it (operational or managerial control)); Caron Potokar (additional disclosable party (controls, leases property to, or provides services to the home)); Joel Sausen (additional disclosable party (controls, leases property to, or provides services to the home)).
- 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 |
|---|---|---|---|
| Brooklyn Fk Healthcare Holdings LLC | Owns 5% or more directly | 100% | Jun 25, 2020 |
| Brooklyn Fk Investor LLC | Owns 5% or more through other companies | 50% | Sep 11, 2020 |
| Fk Investor LLC | Owns 5% or more through other companies | 50% | Sep 11, 2020 |
| Mike Flank Trust | Owns 5% or more through other companies | 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) | Aug 9, 2022 | |
| Progressive Quality Care Inc. | Additional disclosable party (controls, leases property to, or provides services to the home) | Apr 16, 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 | 1 of 5 |
| Quality measures | 5 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 4.2 miles, this one had the 1st most health citations at the latest inspection cycle (25; the middle value was 9.5).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Avenue at Brooklyn This nursing home | 25 | |
| Broadview Multi Care Center | 2.5 | 6 |
| Parma Care Center | 2.6 | 8 |
| Greenbrier Health Center | 3.0 | 23 |
| Mt Alverna Home Inc. | 3.2 | 11 |
| Westpark Healthcare Campus | 3.3 | 7 |
| Seven Hills Health & Rehab Center | 3.3 | 16 |
| North Park Care Center | 3.6 | 0 |
| East Park Care Center | 3.7 | 25 |
| Pleasant Lake Villa | 3.7 | 11 |
| Pleasantview Care Center | 3.9 | 4 |
| Royal Oak Nursing & Rehab Ctr | 4.2 | 2 |
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
-
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.