Avenue at Medina Care and Rehabilitation Center has an overall 5-star rating, with strong health inspection and quality measures scores, but a low 2-star staffing rating and reported nurse staffing below the federal benchmark (3.67 vs. 4.1 hours/resident/day). It had no fines in the last 24 months, though recent inspection citations included infection control, professional standards of care, and following treatment and care orders.
Last inspection: February 18, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.6731.
Staffing detail
Registered nurses
0.63
Licensed practical nurses
1.13
Nurse aides
1.90
Weekend nursing
3.33
Hours per resident per day.
Total staff turnover: 50%
Registered nurse turnover: 36%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
14.8%13.9%Improving
Residents with a fall causing major injury
2.6%4.5%Worsening
Residents with pressure ulcers (bedsores)
2.4%0%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
8.1%2.6%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
5.7%2.9%Improving
Residents whose ability to walk got worse
—0%—
Long-stay residents on antianxiety or sleep medication
45.9%28.2%Improving
Short-stay residents newly given an antipsychotic
0.8%0%Improving
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
42.3%25.2%Improving
Residents with depressive symptoms
46.9%55.9%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
84.6%90.9%Improving
Short-stay residents given the seasonal flu vaccine
—76.3%—
Short-stay residents given the pneumonia vaccine
58.8%42.3%Worsening
What the inspectors found
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited November 2022 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The nursing home failed to provide services that met professional standards of quality. Cited February 2026 — limited pattern, potential for harm.
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F-Tag 658 — 42 CFR §483.21(b)(3) — S/S: E
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited January 2024 — limited pattern, potential for harm.
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F-Tag 684 — 42 CFR §483.25 — S/S: E
The home failed to properly label and securely store medications and biologicals. Cited November 2022 — limited pattern, potential for harm.
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F-Tag 761 — 42 CFR §483.45(g) — S/S: E
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited November 2022 — limited pattern, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 3 health deficiencies.
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INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Operator & ownership
Ownership
For profit - Corporation
Chain
Part of PROGRESSIVE QUALITY CARE · 11 homes · 2.9 stars avg
Occupancy
62.3 residents on an average day (89% of 70 beds)
Resident voice
Resident council
Medicare history
Certified for 13 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.