Summit County, Ohio · Nursing home
Avenue at Macedonia
2 of 5 overall from CMS
9730 Valley View Road, Macedonia, OH 44056
At a glance
- Overall rating 2 of 5 Below the state average of 3.2
- Nurse time per resident, per day Not reported
- Nursing staff who left in a year Not reported
- Health citations, last 3 inspection cycles 34 2 at the harm level or above
- Fines in 3 years $23,140 1 fine
- Certified beds in use 86.4% of 98 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Avenue at Macedonia is a 98-bed nursing home in Macedonia, Ohio (Summit County). CMS rates it 2 of 5 stars overall as of Sep 2026. CMS lists 1 fine totaling $23,140 in the past three years.
- Certified beds
- 98
- Residents per day (average)
- 84.7
- Certified since
- 2017 (9 yrs)
For profit - Corporation Participates in Medicare and MedicaidPart of Progressive Quality Care (11 homes)
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Avenue at Macedonia
Chosen from this home's public data.
- CMS lists 1 fine totaling $23,140 in the past three years. What changed after the most recent one?Penalties in CMS data
- What is the daily private-pay rate, and are Medicaid beds available now?CMS does not publish prices
- Can we visit at a mealtime and again on a weekend?General
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 2 of 5 Ohio average 3.2
- Health inspections 2 of 5 Ohio average 2.8
- Staffing Not rated Ohio average 2.4
- Quality measures 4 of 5 Ohio average 4.4
The vertical line marks the Ohio average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff Not reported Ohio average 3.69
- Nurse aides Not reported Ohio average 2.09
- Licensed practical nurses Not reported Ohio average 0.95
- Registered nurses Not reported Ohio average 0.64
- All staff, weekends Not reported Ohio average 3.28
How much nurse staffing is enough? All bars share one scale, 0 to 11 hours. The vertical line marks the Ohio average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnoverNot reported
- Ohio average48.7%
- Registered nurse turnoverNot reported
- Ohio average43.9%
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Ohio and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Ohio | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 5.6% | 5.3% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 4.3% | 6.2% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% | 0.2% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 0.7% | 0.4% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 52.7% | 30.1% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 4.6% | 3.2% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 82.8% | 92.7% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 4.2% | 6.1% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 23.9% | 25.5% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 83.3% | 94.5% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 3.2% | 3.4% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 23.4% | 21.4% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 8.0% | 8.8% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | Too few residents or stays to report | 1.73 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | Too few residents or stays to report | 1.80 | 1.78 |
Short-stay residents
| Measure | This home | Ohio | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 71.2% | 78.5% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 0.5% | 1.2% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 40.4% | 75.6% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 24.1% | 24.9% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 16.5% | 12.9% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 34 health deficiencies in the three most recent inspection cycles. Of these, 2 involved actual harm; the rest were graded as no actual harm. 14 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Nov 14, 2024: Provide appropriate treatment and care according to orders, resident’s preferences and goals.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Feb 27, 2025 | 10 | 7 |
| Oct 24, 2022 | 12 | 9 |
| Nov 14, 2019 | 12 | 9 |
Ohio homes averaged 10.5 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (34)
-
EPotential for more than minimal harm, pattern
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Apr 7, 2025)
-
EPotential for more than minimal harm, pattern
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.
Infection Control · Deficient, Provider has date of correction (Apr 7, 2025)
-
DPotential for more than minimal harm, isolated
Reasonably accommodate the needs and preferences of each resident.
Resident Rights · Deficient, Provider has date of correction (Apr 10, 2025)
-
DPotential for more than minimal harm, isolated
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.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Apr 7, 2025)
-
DPotential for more than minimal harm, isolated
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Apr 7, 2025)
Show 25 more
-
DPotential for more than minimal harm, isolated
Provide care and assistance to perform activities of daily living for any resident who is unable.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Apr 7, 2025)
-
DPotential for more than minimal harm, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · Deficient, Provider has date of correction (Apr 7, 2025)
-
DPotential for more than minimal harm, isolated
Assist a resident in gaining access to vision and hearing services.
Quality of Life and Care · Deficient, Provider has date of correction (Apr 7, 2025)
-
DPotential for more than minimal harm, isolated
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Quality of Life and Care · Deficient, Provider has date of correction (Apr 7, 2025)
-
DPotential for more than minimal harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Apr 7, 2025)
-
CPotential for minimal harm, widespread
Ensure the activities program is directed by a qualified professional.
Quality of Life and Care · Deficient, Provider has date of correction (Apr 7, 2025)
-
DPotential for more than minimal harm, isolated
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Feb 3, 2025)
-
GActual harm, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Dec 3, 2024)
-
DPotential for more than minimal harm, isolated
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Dec 3, 2024)
-
DPotential for more than minimal harm, isolated
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Aug 16, 2024)
-
DPotential for more than minimal harm, isolated
Provide care and assistance to perform activities of daily living for any resident who is unable.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Aug 16, 2024)
-
DPotential for more than minimal harm, isolated
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Feb 16, 2024)
-
DPotential for more than minimal harm, isolated
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Jan 17, 2024)
-
DPotential for more than minimal harm, isolated
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Jan 17, 2024)
-
DPotential for more than minimal harm, isolated
Ensure medication error rates are not 5 percent or greater.
Complaint investigation · Pharmacy Service · Deficient, Provider has date of correction (Jan 17, 2024)
-
DPotential for more than minimal harm, isolated
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.
Complaint investigation · Nutrition and Dietary · Deficient, Provider has date of correction (Jan 17, 2024)
-
EPotential for more than minimal harm, pattern
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.
Complaint investigation · Nutrition and Dietary · Deficient, Provider has date of correction (Oct 13, 2023)
-
GActual harm, isolated
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care · Deficient, Provider has date of correction (Nov 15, 2022)
-
FPotential for more than minimal harm, widespread
Dispose of garbage and refuse properly.
Nutrition and Dietary · Deficient, Provider has date of correction (Nov 15, 2022)
-
DPotential for more than minimal harm, isolated
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care · Deficient, Provider has date of correction (Nov 15, 2022)
-
DPotential for more than minimal harm, isolated
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Quality of Life and Care · Deficient, Provider has date of correction (Nov 15, 2022)
-
DPotential for more than minimal harm, isolated
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care · Deficient, Provider has date of correction (Nov 15, 2022)
-
DPotential for more than minimal harm, isolated
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service · Deficient, Provider has date of correction (Nov 15, 2022)
-
DPotential for more than minimal harm, isolated
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Nutrition and Dietary · Deficient, Provider has date of correction (Nov 15, 2022)
-
DPotential for more than minimal harm, isolated
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Nov 15, 2022)
Showing the 30 most recent of 34.
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
| Date | Type | Amount |
|---|---|---|
| Feb 27, 2025 | Payment Denial | 4 days |
| Nov 14, 2024 | Fine | $23,140 |
Ohio homes averaged 0.6 fines and $26,381 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Ohio
- Size342 of 922 by certified beds
- Ohio average residents per day73.7
- ChainProgressive Quality Care
- Chain average overall rating2.7 of 5
- Resident or family councilResident
- Homes in Summit County43
Common questions
What is the CMS star rating for Avenue at Macedonia?
Avenue at Macedonia has an overall rating of 2 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 2, staffing is not published and quality measures is 4.
How many beds does Avenue at Macedonia have?
Avenue at Macedonia has 98 certified beds. It averages 84.7 residents per day, about 86.4% of its certified beds.
Has Avenue at Macedonia been fined?
Yes. CMS lists 1 fine totaling $23,140 in the past three years. It also lists 1 payment denial.
Does Avenue at Macedonia accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 5 of 5 Northfield Village Retirement Community 70beds 79.3%in use 3.57nurse hours a day
- 3 of 5 Manor of Grande Village 88beds 90.6%in use 3.43nurse hours a day
- 2 of 5 Aventura at Walton Hills 99beds 78.0%in use 3.17nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Summit County
Who to call in Ohio
These offices serve residents of every nursing home in Ohio.
- Long-term care ombudsman Office of the State Long-Term Care Ombudsman 1-800-282-1206 An advocate for residents and their families.
- File a complaint about a nursing home Complaint Unit 1-800-342-0553 The state agency that inspects nursing homes.
Ohio staffing, bed-hold and Medicaid rules · Residents' rights in every state
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 366454. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.