CCN 366463 · Wayne County, Ohio
Avenue at Wooster
1700 East Smithville Western Road, Wooster, OH 44691
Avenue at Wooster is a 82-bed for-profit nursing home in Wooster, Ohio, first certified for Medicare or Medicaid in 2018. CMS rates it 3 out of 5 stars overall in its September 2026 data, and it averaged 78.3 residents a day, about 96% of its certified beds. It has an active FHA-insured Section 232 loan: $14.7 million originally, at 6.17%, with $14.3 million outstanding as of September 30, 2026 and maturity in January 2059.
Facility facts
- Certified beds
- 82
- Average residents per day
- 78.3 (95.5% of beds)
- Ownership type
- For profit - Corporation
- Certification
- Medicare and Medicaid
- Legal business name
- Progressive Wooster LLC
- Certified since
- Apr 6, 2018
- Chain or affiliated group
- Progressive Quality Care (11 facilities, chain average 2.7 stars)
- Location
- Rural
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | Ohio median | US median |
|---|---|---|---|
| Overall rating | 3 of 5 | State spread: 118 at 1, 216 at 2, 180 at 3, 190 at 4, 209 at 5 | |
| Health inspections | 2 of 5 | ||
| Quality measures | 5 of 5 | ||
| Staffing | 2 of 5 | ||
| Total nurse hours per resident per day | 3.28 | 3.57 | 3.68 |
| RN hours per resident per day | 0.38 | 0.59 | 0.58 |
| Weekend nurse hours per resident per day | 2.76 | ||
| Nursing staff turnover | 35.8% | 48.5% | 44.9% |
| Occupancy (residents / beds) | 95.5% | 87.2% | 85.7% |
| Fines reported by CMS | None | ||
| Health deficiencies, latest standard survey | 14 (Mar 20, 2025) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Avenue at Wooster meets that part today: 3 stars overall, 2 on health inspections, no abuse icon. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.
| Name | Role | Share | Since |
|---|---|---|---|
| Flank, EitanIndividual | Direct Ownership Interest | 20% | 06/10/2022 |
| Flank, LiatIndividual | Direct Ownership Interest | 20% | 06/10/2022 |
| Flank, MatanIndividual | Direct Ownership Interest | 20% | 06/10/2022 |
| Flank, ShaulIndividual | Direct Ownership Interest | 20% | 06/10/2022 |
| Sausen, JoelIndividual | Direct Ownership Interest | 20% | 06/10/2022 |
| Progressive Quality Care IncOrganization | Operational / Managerial Control | n/a | 01/01/2018 |
| Giauque, ChadIndividual | Operational / Managerial Control | n/a | 06/13/2022 |
| Nielsen, PaulIndividual | Operational / Managerial Control | n/a | 02/15/2018 |
Changes of ownership
No change of ownership for this facility appears in the CMS change-of-ownership file, which starts in January 2016.
HUD Section 232 loans
HUD's Office of Healthcare Programs lists these FHA-insured loans for a project we matched to this facility by name, city and bed count. Status, rate and balance come from HUD's insured-mortgage files as of September 30, 2026. Check the FHA number against the loan documents before relying on the match.
| Endorsed | Program | Original amount | Status | FHA number |
|---|---|---|---|---|
| Dec 21, 2023 | 223(f) refinance or purchaseHUD project name: Avenue at Wooster, 112 beds. Lender at endorsement: Greystone Funding Company LLC | $14,669,200 | Active: 6.17%, $14,325,822 balanceMatures Jan 1, 2059. Servicer: Greystone Servicing Company | 04222398 |
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.