3/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
3/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
A 30-bed rehabilitation and short-term care facility located on East Smithville Western Road in Wooster, Ohio, is Avenue at Wooster Assisted Living. It sits in a really walkable area where lots of daily errands are doable on foot, making it convenient for visiting family. Averaging a stay length of around 80 days, the facility primarily serves people needing short-term rehabilitation and transitional care following surgery, illness, or hospital discharge. Its acceptance of Medicare, Medicaid, and private pay provides flexible coverage options for families.
Broad and specialized is the facility’s clinical focus. Daily nursing care averages 3 hours 5 minutes per resident, anchored by registered nurses, licensed nurses, and certified nursing aides. The community offers rehabilitation services, including physical, occupational, and speech therapies, along with specialized programs in orthopedic rehabilitation, post-surgical recovery, and cardiac care. For occupants with more complex needs, Avenue at Wooster Assisted Living supplies specialized programs in stroke care, respiratory care, wound care, and neuromuscular therapy. The home caters to residents with cancer care needs, Alzheimer’s and dementia care, diabetes management, and pain management. Beyond acute rehabilitation, the facility operates a hospice care program and offers respite care for families needing momentary support. IV therapy, tracheotomy care, and nutritional management are available on-site, lessening outside appointment needs for routine clinical requirements. The high nursing staffing level and breadth of specialized programs indicate that the property is equipped to manage complex medical needs when transitioning from hospital or acute illness back to home or long-term care.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 156th out of 199 homes in Ohio for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 30m per day | ▼ 21% State avg: 38m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 1h 23m per day | ▲ 44% State avg: 58m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 1h 52m per day | ▼ 12% State avg: 2h 7m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 13m per day | ▼ 4% State avg: 3h 20m per day · National avg: 3h 27m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 1m per day | ▼ 65% State avg: 3m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 18m per day | ▼ 28% State avg: 25m per day · National avg: 29m per day |
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
In Ohio, the Department of Health, Bureau of Survey and Certification conducts unannounced onsite inspections to evaluate the quality of care and environment in all licensed facilities.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Ohio state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Citations
| This Facility | OH Average | vs. OH Avg |
|---|---|---|---|
|
Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
| 5 | 2 | This facility has 150% more total citations than a typical Ohio nursing home (5 vs. OH avg 2).↑ 150% worse |
Ohio average 6.7
Last Health inspection on Mar 2025
Ohio average 30.9
Ohio average 4.59
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
19 of 29 citations resulted from standard inspections; 6 of 29 resulted from complaint investigations; and 4 of 29 came from combined inspections (standard and complaint).
100% better than Ohio averageOhio average: 0.3
11% worse than Ohio averageOhio average: 0.9
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
32% fewer staff per resident than Ohio average
0% compared with Ohio average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 10 RN Staff are full-time employees. No contractors work on this role.
10
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9 hoursAssists with medical care and medications.
All 24 LPN Staff are full-time employees. No contractors work on this role.
24
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hoursHelps with daily care and mobility.
All 45 CNA Staff are full-time employees. No contractors work on this role.
45
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
2,211 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 45 | 0 | 45 | 13,172 | 92 | 100% | 8.3 |
| Licensed Practical Nurse | 24 | 0 | 24 | 8,859 | 92 | 100% | 8.8 |
| Registered Nurse | 10 | 0 | 10 | 3,059 | 92 | 100% | 9 |
| RN Director of Nursing | 2 | 0 | 2 | 1,015 | 76 | 83% | 8.3 |
| Other Dietary Services Staff | 3 | 0 | 3 | 932 | 81 | 88% | 6.4 |
| Speech Language Pathologist | 0 | 4 | 4 | 883 | 68 | 74% | 6.8 |
| Administrator | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Dietitian | 1 | 0 | 1 | 453 | 58 | 63% | 7.8 |
| Physical Therapy Aide | 0 | 2 | 2 | 452 | 63 | 68% | 6.5 |
| Qualified Social Worker | 0 | 3 | 3 | 382 | 49 | 53% | 7.8 |
| Dental Services Staff | 3 | 0 | 3 | 309 | 35 | 38% | 8 |
| Physical Therapy Assistant | 0 | 4 | 4 | 240 | 64 | 70% | 3.6 |
| Occupational Therapy Aide | 1 | 0 | 1 | 160 | 20 | 22% | 8 |
| Medication Aide/Technician | 1 | 0 | 1 | 140 | 23 | 25% | 6.1 |
| Respiratory Therapy Technician | 0 | 5 | 5 | 134 | 47 | 51% | 2.8 |
| Qualified Activities Professional | 0 | 2 | 2 | 65 | 13 | 14% | 5 |
| Medical Director | 0 | 1 | 1 | 56 | 14 | 15% | 4 |
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
5.0
14% better than Ohio averageOhio average: 5.8
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
13.9
10% worse than Ohio averageOhio average: 12.7
Percent of long-stay residents whose need for help with daily activities has increased
5.1%
26% better than Ohio averageOhio average: 6.8%
Percent of long-stay residents whose ability to move independently worsened
5.3%
41% better than Ohio averageOhio average: 8.9%
Percent of low risk long-stay residents who lose control of their bowels or bladder
31.4%
43% worse than Ohio averageOhio average: 22.0%
Percent of long-stay residents experiencing one or more falls with major injury
7.5%
118% worse than Ohio averageOhio average: 3.4%
Percent of long-stay high risk residents with pressure ulcers
2.6%
33% better than Ohio averageOhio average: 3.9%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Ohio averageOhio average: 0.5%
Percent of long-stay residents who lose too much weight
4.6%
26% better than Ohio averageOhio average: 6.2%
Percent of long-stay residents who have depressive symptoms
11.3%
53% better than Ohio averageOhio average: 24.0%
Percent of long-stay residents who received an antipsychotic medication
4.6%
46% better than Ohio averageOhio average: 8.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
8% better than Ohio averageOhio average: 92.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
6% better than Ohio averageOhio average: 94.5%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
28% better than Ohio averageOhio average: 78.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.7%
49% better than Ohio averageOhio average: 1.3%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
32% better than Ohio averageOhio average: 75.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
8% of new residents, usually for short-term rehab.
77% of new residents, often for short stays.
15% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
81Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Avenue at Wooster Assisted Living from 2019–2023, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 12/2023.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #117 / 199Payroll — State benchmarkedThis home is ranked 117th out of 199 homes in Ohio for Payroll. Shows total annual staff payroll benchmarked to the Ohio average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Ohio that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #80 / 199Payroll % — State benchmarkedThis home is ranked 80th out of 199 homes in Ohio for Payroll %. Shows payroll as a percentage of revenue versus the Ohio average. Well-run Ohio facilities typically land around 54–64% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Ohio that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Most residents stay long-term, while a smaller portion are admitted for short-term rehab.
Most new residents arrive under private pay (77% of admissions), and a typical private pay stay runs around 2 - 3 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
0.0 miles from city center
Estimated distance in miles from Wooster's city center to Avenue at Wooster Assisted Living's address, calculated via Google Maps.
Add your location
The information below is reported by the Ohio Department of Health, Bureau of Survey and Certification.
| Avenue at Wooster Assisted Living | NH AL HOS PC RC SNF | Wooster | 30
Facility
30
OH AVG
76
Rank
#284 / 315 | - | - | 3.08
Facility
3.08
OH AVG
3.54
Rank
#156 / 199 | -4% | -13% | $0
Facility
$0
OH AVG
$74.0k
Rank
#1 / 200 | 29
Facility
29
OH AVG
30.9
Rank
#102 / 199 | 4.8
Facility
4.8
OH AVG
4.6
Rank
#132 / 199 | 1 | 78 | A+ |
79
Facility
79
OH AVG
40
Rank
#29 / 704 | - | $9.8MFiscal year ending 12/2023
Facility
$9.8MFiscal year ending 12/2023
OH AVG
$10.1M
Rank
#120 / 199 | $4.7MFiscal year ending 12/2023
Facility
$4.7MFiscal year ending 12/2023
OH AVG
$3.9M
Rank
#117 / 199 | 47.8%Fiscal year ending 12/2023
Facility
47.8%Fiscal year ending 12/2023
OH AVG
40.2%
Rank
#80 / 199 | 366463 | ||||
| Sprenger Health Care Smithville Western | NH AL IL MC RC SNF | Wooster (North Central) | 127
Facility
127
OH AVG
76
Rank
#34 / 315 |
77.6%
Facility
77.6%
OH AVG
81.9
Rank
#106 / 145 | -5% | 3.46
Facility
3.46
OH AVG
3.54
Rank
#95 / 199 | +61% | -2% | $42.8k
Facility
$42.8k
OH AVG
$74.0k
Rank
#169 / 200 | 38
Facility
38
OH AVG
30.9
Rank
#141 / 199 | 4.8
Facility
4.8
OH AVG
4.6
Rank
#132 / 199 | 1 | 99 | - |
82
Facility
82
OH AVG
40
Rank
#16 / 704 | Sprenger Enterprises, Inc | $11.0MFiscal year ending 12/2023
Facility
$11.0MFiscal year ending 12/2023
OH AVG
$10.1M
Rank
#75 / 199 | $5.2MFiscal year ending 12/2023
Facility
$5.2MFiscal year ending 12/2023
OH AVG
$3.9M
Rank
#82 / 199 | 46.7%Fiscal year ending 12/2023
Facility
46.7%Fiscal year ending 12/2023
OH AVG
40.2%
Rank
#135 / 199 | 365317 | ||||
| Divine Rehabilitation and Nursing at Honeytown | NH MC SNF | Wooster (Etiwanda) | 99
Facility
99
OH AVG
76
Rank
#73 / 315 |
61.7%
Facility
61.7%
OH AVG
81.9
Rank
#132 / 145 | -25% | 3.90
Facility
3.90
OH AVG
3.54
Rank
#52 / 199 | -37% | +10% | $193.5k
Facility
$193.5k
OH AVG
$74.0k
Rank
#197 / 200 | 85
Facility
85
OH AVG
30.9
Rank
#195 / 199 | 7.7
Facility
7.7
OH AVG
4.6
Rank
#189 / 199 | 4 | 61 | - |
66
Facility
66
OH AVG
40
Rank
#94 / 704 | - | $9.2MFiscal year ending 12/2023
Facility
$9.2MFiscal year ending 12/2023
OH AVG
$10.1M
Rank
#88 / 199 | $4.7MFiscal year ending 12/2023
Facility
$4.7MFiscal year ending 12/2023
OH AVG
$3.9M
Rank
#118 / 199 | 51.5%Fiscal year ending 12/2023
Facility
51.5%Fiscal year ending 12/2023
OH AVG
40.2%
Rank
#171 / 199 | 365898 |
Avenue at Wooster Assisted Living is located in WOOSTER, Ohio.
Here are the financial assistance programs available to residents in Ohio.
Avenue at Wooster Assisted Living has a walk score of 79. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
Avenue at Wooster Assisted Living's occupancy is 95.0%.
No, Avenue at Wooster Assisted Living has a no-pet policy.
The team at Avenue at Wooster Assisted Living can be reached at CGIAUQUE@AVENUEATWOOSTER.COM.
Avenue at Wooster Assisted Living is registered as a for-profit in OH.
Avenue at Wooster Assisted Living has 30 beds.
Avenue at Wooster Assisted Living has had 5 reported citations according to records from Ohio Department of Aging (ODA).
Care Cost Calculator: See Prices in Your Area
Nursing Home Data Explorer
Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now
The True Cost of Assisted Living in 2025 – And How Families Are Paying For It
Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
