Avenue at Wooster Assisted Living
Nursing Home, Assisted Living, Hospice Care, Palliative Care, Respite Care & Skilled Nursing · Wooster, OH
CMS overall rating Info 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.

Avenue at Wooster Assisted Living

Nursing Home, Assisted Living, Hospice Care, Palliative Care, Respite Care & Skilled Nursing · Wooster, OH
CMS overall rating Info 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.
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Avenue at Wooster Assisted Living accepts Medicare, Medicaid, and private pay.

Overview of Avenue at Wooster Assisted Living

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.

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
▼ 5.7% Below OH avg. ▼ 5.7% Below OH avg.OH average: 3.2Click the badge to see the full State ranking.Click here to see the full State ranking.
Health Inspection Info 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.
▼ 28.6% Below OH avg. ▼ 28.6% Below OH avg.OH average: 2.8Click the badge to see the full State ranking.Click here to see the full State ranking.
Staffing Info 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.
▼ 18.1% Below OH avg. ▼ 18.1% Below OH avg.OH average: 2.4Click the badge to see the full State ranking.Click here to see the full State ranking.
Quality Measures Info 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.
▲ 14.7% Above OH avg. ▲ 14.7% Above OH avg.OH average: 4.4Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours Info 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.

Hours per resident per day vs Ohio averages

Rank #138 / 177Nurse hours — State benchmarkedThis home is ranked 138th out of 177 homes we track in Ohio for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the Ohio average, with a ranking across 177 Ohio facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Ohio that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Total nursing care Info This home is ranked 138th out of 177 homes we track 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.

3h 5m

13% below state avg
Staff type
Hours / day / resident
vs state avg
Registered Nurse (RN) Info 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
−21% State avg: 38m per day · National avg: 41m per day
LPN / LVN Info 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
+44% State avg: 58m per day · National avg: 52m per day
Nurse Aide Info 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
−12% State avg: 2h 7m per day · National avg: 2h 20m per day
Weekend Total Nursing Info 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.
2h 46m
−11% State avg: 3h 7m per day · National avg: 3h 29m per day
Physical Therapist Info 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
−65% State avg: 3m per day · National avg: 4m per day
Weekend RN Info 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
−28% State avg: 25m per day · National avg: 29m per day

5 of 6 metrics below state avg

Capacity and availability

Residents per day (avg)
78
Avg. Length of Stay Info 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.
80 days
Bed community size
30-bed community Rank #274 / 306Bed count — State benchmarkedThis home is ranked 274th out of 306 homes we track in Ohio for bed count. Shows this facility's certified or reported bed count compared to other Ohio facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Ohio that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A moderately sized community that may balance personal attention with shared amenities and social activities.
Walk Score
Walk Score: 79 / 100 Rank #29 / 673Walk Score — State benchmarkedThis home is ranked 29th out of 673 homes we track in Ohio for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Ohio facilities. Higher scores benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Ohio that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
BBB Rating
BBB Rating: A+ (Not Accredited)
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
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About this community

License Details

Facility TypeResidential Care Facility
StatusActive
CountyWayne
CMS Certification Number366463

Therapy & Rehabilitation

3 services
Rehabilitation Services
Respite Care
Short-Term Rehab

Contact Information

Fax(330) 345-0001

Additional Policies & Features

Pets not allowed

Amenities & Lifestyle

Specific ProgramsCardiac Rehabilitation, IV Therapy, Neuromuscular Therapy, Orthopedic Rehabilitation, Physical, Occupational & Speech Therapies, Post-Surgical Rehabilitation, Transitional Care, Cancer Care, Counseling, Dementia & Alzheimer's Care, Diabetes Care, IV Care, Neuromuscular Care, Nutritional Management, Pain Management, Respiratory Care, Stroke Care, Tracheotomy Care, Hospice Care Program, Wound Care Program

Contact Avenue at Wooster Assisted Living

Inspection History

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.

Inspection Scorecard Info 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.

Overall vs. OH average 1 Worse Metrics worse than Ohio average:
• Total citations (150% above)
0 Better No metrics in this bucket.

Citations Info Citations are formal regulatory issues recorded during state inspections.

This FacilityOH Averagevs. OH Avg
Total citations Info Formal regulatory issues recorded by inspectors across all inspection types. 52 This facility has 150% more total citations than a typical Ohio nursing home (5 vs. OH avg 2).↑ 150% worse

CMS Health Inspection History

Federal inspection data published by CMS, covering this home's Medicare and/or Medicaid-certified skilled-nursing/nursing beds only.

Inspections Since 2020 · 6 years of data
Total health inspections 6

Ohio average 6.7


Last Health inspection on Mar 2025

Total health citations
29 Rank #91 / 178Health citations — State benchmarkedThis home is ranked 91st out of 178 homes we track in Ohio for health citations. Shows this facility's total health deficiency citations benchmarked to the Ohio State average, with a ranking across all 178 OH facilities. Lower citation counts earn a better rank.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Ohio that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Ohio average 30.9

Citations per inspection
4.83 Rank #117 / 178Citations per inspection — State benchmarkedThis home is ranked 117th out of 178 homes we track in Ohio for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Ohio mean across 178 facilities with citation data. Lower is better.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Ohio that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

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).

Breakdown of citation severity (last 6 years)
Critical health citations
0
100% better than Ohio average

Ohio average: 0.3


Serious health citations
1
11% worse than Ohio average

Ohio average: 0.9

0 critical citations Ohio average: 0.3

1 serious citation Ohio average: 0.9

28 moderate citations Ohio average: 29

0 minor citations Ohio average: 0.7
Citations history (last 6 years)
Abuse/Neglect moderate citation Mar 20, 2025
Corrected

Abuse/Neglect moderate citation Mar 20, 2025
Corrected

Infection Control moderate citation Mar 20, 2025
Corrected

Nutrition moderate citation Mar 20, 2025
Corrected

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 113
Employees 92
Contractors 21
Staff to resident ratio 1.40 : 1
32% fewer staff per resident than Ohio average
Ohio average ratio: 2.04 : 1 Ohio average ratio: 2.04 : 1See full Ohio ranking
Avg staff/day 42
Average shift 8.1 hours
0% compared with Ohio average
Ohio average: 8.1 hours Ohio average shift: 8.1 hoursSee full Ohio ranking
Total staff hours (quarter) 31,333

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info All 10 RN Staff are full-time employees. No contractors work on this role. 10
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 24 LPN Staff are full-time employees. No contractors work on this role. 24
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.8 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 45 CNA Staff are full-time employees. No contractors work on this role. 45
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.3 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

7.1%

2,211 contractor hours this quarter

Respiratory Therapy Technician: 5 Speech Language Pathologist: 4 Physical Therapy Assistant: 4 Qualified Social Worker: 3 Physical Therapy Aide: 2 Qualified Activities Professional: 2 Medical Director: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant4504513,17292100%8.3
Licensed Practical Nurse240248,85992100%8.8
Registered Nurse100103,05992100%9
RN Director of Nursing2021,0157683%8.3
Other Dietary Services Staff3039328188%6.4
Speech Language Pathologist0448836874%6.8
Administrator1015126470%8
Nurse Practitioner1015126470%8
Dietitian1014535863%7.8
Physical Therapy Aide0224526368%6.5
Qualified Social Worker0333824953%7.8
Dental Services Staff3033093538%8
Physical Therapy Assistant0442406470%3.6
Occupational Therapy Aide1011602022%8
Medication Aide/Technician1011402325%6.1
Respiratory Therapy Technician0551344751%2.8
Qualified Activities Professional022651314%5
Medical Director011561415%4
45 Certified Nursing Assistant
% of Days 100%
24 Licensed Practical Nurse
% of Days 100%
10 Registered Nurse
% of Days 100%
2 RN Director of Nursing
% of Days 83%

Penalties and fines

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.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info 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 average

Ohio average: 5.8

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 13.9
10% worse than Ohio average

Ohio average: 12.7

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 5.1%
26% better than Ohio average

Ohio average: 6.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 5.3%
41% better than Ohio average

Ohio average: 8.9%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 31.4%
43% worse than Ohio average

Ohio average: 22.0%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 7.5%
118% worse than Ohio average

Ohio average: 3.4%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 2.6%
33% better than Ohio average

Ohio average: 3.9%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.0%
100% better than Ohio average

Ohio average: 0.5%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 4.6%
26% better than Ohio average

Ohio average: 6.2%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 11.3%
53% better than Ohio average

Ohio average: 24.0%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 4.6%
46% better than Ohio average

Ohio average: 8.4%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
8% better than Ohio average

Ohio average: 92.4%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
6% better than Ohio average

Ohio average: 94.5%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
28% better than Ohio average

Ohio average: 78.0%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.7%
49% better than Ohio average

Ohio average: 1.3%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
32% better than Ohio average

Ohio average: 75.6%

Breakdown by payment type

Medicare

8% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

77% of new residents, often for short stays.

Typical stay 2 - 3 months

Medicaid

15% of new residents, often for long-term daily care.

Typical stay 3 - 4 months

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 81
Medicare
5
6.2% of residents
Medicaid
56
69.1% of residents
Private pay or other
20
24.7% of residents

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

For-profit
Corporation
Net patient revenue Info 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."
$9.8M
Net patient income Info 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."
$1.5M
For-profit Corporation
Net patient revenue Info 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."
$9.8M Rank #71 / 172Net patient revenue — State benchmarkedThis home is ranked 71st out of 172 homes we track in Ohio. Shows this facility's net patient revenue compared to the Ohio average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Ohio that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Net patient income Info 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."
$1.5M
Other income Info 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.
$100.4K
Payroll costs Info 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 #97 / 172Payroll costs — State benchmarkedThis home is ranked 97th out of 172 homes we track in Ohio. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Ohio average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Ohio that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
$4.7M 47.8% of net patient revenue Info 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 #134 / 172Payroll % of net patient revenue — State benchmarkedThis home is ranked 134th out of 172 homes we track in Ohio. Shows payroll as a percentage of net patient revenue versus the Ohio average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Ohio that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Other operating costs Info 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).
$3.6M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$8.2M

Who this home usually serves

TYPE OF STAY

Primarily long-term care, limited rehab

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.

Admissions
365 total

Coverage residents most often arrive under.

Medicare 8%
Private pay 77%
Medicaid 15%
Discharges
355 total

Coverage residents most often leave under.

Medicare 5%
Private pay 81%
Medicaid 14%

Places of interest near Avenue at Wooster Assisted Living

Address 0.0 miles from city center Info Estimated distance in miles from Wooster's city center to Avenue at Wooster Assisted Living's address, calculated via Google Maps.

Calculate Travel Distance to Avenue at Wooster Assisted Living

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Compare Nursing Homes around Wooster

Info below is compiled from CMS reports & the OH Dept. of Health, senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.

The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. RC (Respite Care): Short-term temporary care that gives family caregivers a break. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment. PC (Palliative Care):
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level D or higher — meaning actual harm occurred or residents were placed in immediate jeopardy. Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Ohio average is: 55.7% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Avenue at Wooster Assisted Living
NH
AL
HOS
PC
RC
SNF
Wooster
30
Facility 30
OH AVG 75
Rank #274 / 306
--
3.08
Facility 3.08
OH AVG 3.54
Rank #138 / 177
-4%-13%
$0
Facility $0
OH AVG $74.0k
Rank #1 / 178
29
Facility 29
OH AVG 30.9
Rank #91 / 178
4.8
Facility 4.8
OH AVG 4.6
Rank #117 / 178
178A+
79
Facility 79
OH AVG 42
Rank #29 / 673
-
$9.8MFiscal year ending 12/2023
Facility $9.8MFiscal year ending 12/2023
OH AVG $9.6M
Rank #71 / 172
$4.7MFiscal year ending 12/2023
Facility $4.7MFiscal year ending 12/2023
OH AVG $5.2M
Rank #97 / 172
47.8%Fiscal year ending 12/2023
Facility 47.8%Fiscal year ending 12/2023
OH AVG 55.7%
Rank #134 / 172
366463
Sprenger Health Care Smithville Western
NH
AL
IL
MC
RC
SNF
Wooster (North Central)
127
Facility 127
OH AVG 75
Rank #31 / 306
77.6%
Facility 77.6%
OH AVG 81.7
Rank #99 / 135
-5%
3.46
Facility 3.46
OH AVG 3.54
Rank #85 / 177
+61%-2%
$42.8k
Facility $42.8k
OH AVG $74.0k
Rank #153 / 178
38
Facility 38
OH AVG 30.9
Rank #128 / 178
4.8
Facility 4.8
OH AVG 4.6
Rank #117 / 178
199-
82
Facility 82
OH AVG 42
Rank #16 / 673
Sprenger Enterprises, Inc
$11.0MFiscal year ending 12/2023
Facility $11.0MFiscal year ending 12/2023
OH AVG $9.6M
Rank #51 / 172
$5.2MFiscal year ending 12/2023
Facility $5.2MFiscal year ending 12/2023
OH AVG $5.2M
Rank #72 / 172
46.7%Fiscal year ending 12/2023
Facility 46.7%Fiscal year ending 12/2023
OH AVG 55.7%
Rank #142 / 172
365317
Divine Rehabilitation and Nursing at Honeytown
NH
MC
SNF
Wooster (Etiwanda)
99
Facility 99
OH AVG 75
Rank #69 / 306
61.7%
Facility 61.7%
OH AVG 81.7
Rank #122 / 135
-24%
3.90
Facility 3.90
OH AVG 3.54
Rank #45 / 177
-37%+10%
$193.5k
Facility $193.5k
OH AVG $74.0k
Rank #176 / 178
85
Facility 85
OH AVG 30.9
Rank #174 / 178
7.7
Facility 7.7
OH AVG 4.6
Rank #168 / 178
461-
66
Facility 66
OH AVG 42
Rank #94 / 673
-
$9.2MFiscal year ending 12/2023
Facility $9.2MFiscal year ending 12/2023
OH AVG $9.6M
Rank #83 / 172
$4.7MFiscal year ending 12/2023
Facility $4.7MFiscal year ending 12/2023
OH AVG $5.2M
Rank #95 / 172
51.5%Fiscal year ending 12/2023
Facility 51.5%Fiscal year ending 12/2023
OH AVG 55.7%
Rank #102 / 172
365898

Financial Assistance for
Nursing Home in Ohio

Avenue at Wooster Assisted Living is located in WOOSTER, Ohio.
Here are the financial assistance programs available to residents in Ohio.

Get Financial aid guidance

PASSPORT Waiver

Ohio Medicaid PASSPORT

Age 60+
General Ohio resident, Medicaid-eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
OH

Administered through regional agencies; waitlists possible.

Benefits
Personal care (5-7 hours/day) Respite (240 hours/year) Adult day care ($65/day) Home modifications ($1,500 avg.)

Ohio Home Care Program (non-Medicaid)

OH HCP

Age 60+
General Ohio resident, at risk of decline.
Income Limits ~$2,000/month individual, varies
Asset Limits $5,000 individual
OH

Limited funding; regional variation.

Benefits
In-home care (3-5 hours/week) Respite (up to 10 days/year) Transportation (~5 trips/month)

Assisted Living Waiver (ALW)

Ohio Assisted Living Waiver

Age 21+ (65+ prioritized)
General OH resident, Medicaid-eligible, NFLOC.
Income Limits (2025) ~$2,829/month (individual); QIT required.
Asset Limits $2,000 (individual), $3,000 (couple).
OH

Covers ~300 facilities; room/board not included (separate cost).

Benefits
Personal care Meals Medication management Transportation (~$3,000-$4,000/month value)

Program of All-Inclusive Care for the Elderly (PACE)

Ohio PACE (e.g., McGregor PACE)

Age 55+
General OH resident (specific counties), NFLOC, safe with PACE support.
Income Limits (2025) ~$2,829/month (Medicaid-eligible); private pay option available.
Asset Limits $2,000 (individual), $3,000 (couple) for Medicaid enrollees.
OH

Available in 9 counties (e.g., Cuyahoga, Franklin); expanding via Healthy Aging Grants.

Benefits
Personal care (5-7 hours/day) Medical care Meals Transportation Respite Therapies

Medicare Savings Program (MSP)

Ohio Medicare Savings Program

Age 65+ or disabled
General OH resident, Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits $9,430 (individual), $14,130 (couple).
OH

Three tiers; includes Extra Help for Part D; no waitlist.

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

Home Energy Assistance Program (HEAP)

Ohio HEAP

Age 60+ prioritized
General OH resident, low-income household.
Income Limits (2025) ~$3,970/month individual, 185% FPL
Asset Limits Not assessed; income-focused.
OH

Covers gas, electric, oil; emergency aid via Winter/Summer Crisis Programs.

Benefits
Heating/cooling aid ($300-$1,000/season) Emergency aid ($500 max)

Family Caregiver Support Program (FCSP)

Ohio Family Caregiver Support Program

Age
General Caregivers of 60+ needing care or 55+ caregivers of others; OH resident; functional needs (2+ ADLs).
Income Limits (2025) Prioritizes ~$24,980/year (individual); no strict cap.
Asset Limits Not assessed; need-based.
OH

12 AAAs; rural/low-income priority; volunteer respite option.

Benefits
Respite (4-6 hours/week or 5 days/year) Adult day care ($60/day) Training Supplies (~$500/year)

VA Aid and Attendance (A&A) and Housebound Benefits

Ohio VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General OH resident, wartime service, need for ADL help (A&A) or homebound.
Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits ~$155,356 net worth limit
OH

High veteran demand; supports care in multiple settings.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living)

Homestead Exemption

Ohio Homestead Exemption

Age 65+ (or disabled)
General OH resident, homeowner, low-income.
Income Limits (2025) ~$38,500/year individual, adjusted annually
Asset Limits Not assessed; home ownership required.
OH

Reduces taxable value by $25,000; applies to primary residence.

Benefits
Tax reduction (~$400-$800/year avg., varies by county)

Save the Dream Ohio (Homeowner Assistance Fund)

Ohio Save the Dream

Age 60+ prioritized
General OH resident, homeowner, hardship post-Jan 21, 2020.
Income Limits (2025) ~$147,600/year family of 4, 150% AMI; varies by county
Asset Limits Not assessed; hardship-focused.
OH

Covers delinquent mortgages, utilities, taxes; max $25,000 mortgage aid.

Benefits
Mortgage aid ($25,000 max) Utility/property tax aid ($5,000 avg.)

Frequently Asked Questions about Avenue at Wooster Assisted Living

Is Avenue at Wooster Assisted Living in a walkable area?

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.

What is the occupancy rate at Avenue at Wooster Assisted Living?

Avenue at Wooster Assisted Living's occupancy is 95.0%.

Are pets allowed at Avenue at Wooster Assisted Living?

No, Avenue at Wooster Assisted Living has a no-pet policy.

What is the best email address for Avenue at Wooster Assisted Living?

The team at Avenue at Wooster Assisted Living can be reached at CGIAUQUE@AVENUEATWOOSTER.COM.

Does Avenue at Wooster Assisted Living operate as a for-profit or non-profit?

Avenue at Wooster Assisted Living is registered as a for-profit in OH.

How many beds does Avenue at Wooster Assisted Living have?

Avenue at Wooster Assisted Living has 30 beds.

Has Avenue at Wooster Assisted Living had any citations?

Avenue at Wooster Assisted Living has had 5 reported citations according to records from Ohio Department of Aging (ODA).

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