St Mary of the WoodsCMS ratings, inspections and fines
- Address
- 35755 Detroit Road, Avon, OH 44011
- CCN
- 366342
- Ownership type
- Non-profit, corporation
- Certified beds
- 50
- Residents per day
- 44
- CMS flags
- None in the CMS record
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives St Mary of the Woods an overall rating of 4 of 5 stars. The last standard survey was on 28 Aug 2025. The latest survey cycle has 4 health citations. The median for nursing homes in Ohio is 8. CMS lists no fines for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Lorain County median | Ohio median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 4 | 4.0 | 3.0 | 3.0 |
| Health inspection rating | 4 | 3.0 | 3.0 | 2.8 |
| Staffing rating | 4 | 2.0 | 2.0 | 2.9 |
| Quality measure rating | 4 | 5.0 | 5.0 | 3.6 |
A median is the middle value of the homes in the group: 20 homes in the county, 922 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Ohio median |
|---|---|---|---|
| Cycle 1 (latest) | 28 Aug 2025 | 4 | 8 |
| Cycle 2 | 23 Jun 2022 | 2 | 8 |
| Cycle 3 | No date | 5 | 8 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | K0 | L0 |
| Actual harm that is not immediate jeopardy | G0 | H0 | I0 |
| No actual harm, potential for more than minimal harm | F0 | ||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 4 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 1 Jun 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 10 Jun 2026 |
| 28 Aug 2025 | F0583 | Keep residents' personal and medical records private and confidential. | D | Complaint investigation | 14 Oct 2025 |
| 28 Aug 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint investigation | 14 Oct 2025 |
| 28 Aug 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 14 Oct 2025 |
Survey cycle 2: 2 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 23 Jun 2022 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 15 Jul 2022 |
| 23 Jun 2022 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 15 Jul 2022 |
Survey cycle 3: 5 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 30 May 2019 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 27 Jun 2019 |
| 30 May 2019 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 27 Jun 2019 |
| 30 May 2019 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 27 Jun 2019 |
| 30 May 2019 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard survey | 27 Jun 2019 |
| 30 May 2019 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 27 Jun 2019 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
CMS lists no fine and no payment denial for this home in its penalties file.
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Ohio median | Ohio average (CMS) |
|---|---|---|---|
| All nurse staff | 4.59 | 3.60 | 3.69 |
| Registered nurses (RN) | 1.37 | 0.60 | 0.64 |
| Licensed practical nurses (LPN) | 1.27 | 0.95 | |
| Nurse aides | 1.95 | 2.09 | |
| All nurse staff, weekends | 4.00 | 3.20 | 3.28 |
- Nurse staff turnover in a year
- 58.5%
- Nurse staff turnover, Ohio median
- 48.5%
- RN turnover in a year
- 55.6%
- Administrators who left in a year
- No data
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Ohio median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 4.2% | 4.3% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 3.0% | 0.0% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.0% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.3% | 0.7% | 1.0% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 5.7% | 3.0% | 4.2% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- Non-profit, corporation
- Legal business name
- Saint Therese of Avon LLC
- Chain
- Saint Therese Senior Communities (4 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Saint Therese Communities | 5% or greater direct ownership interest | 100% | 1 Dec 2024 |
| Saint Therese | Indirect ownership interest | 1 Dec 2024 | |
| Saint Therese | Operational/managerial control | 1 Dec 2024 | |
| Saint Therese Communities | Operational/managerial control | 1 Dec 2024 | |
| Saint Therese Management Services, LLC | Operational/managerial control | 30 Dec 2024 | |
| Saint Therese Management Services, LLC | Adp of the snf | 30 Dec 2024 |
The site shows organisations only. It does not show the names of persons.
Other homes in Lorain County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Woods on French Creek Nursing & Rehab Center The | Avon | 4 of 5 | 6 | $26,685 | 17 Aug 2023 | |
| Avon Oaks Nursing Home | Avon | 5 of 5 | 5 | $0 | 19 Mar 2026 | |
| Avon Place Healthcare Center | Avon | 2 of 5 | 13 | $0 | 29 Jun 2023 | |
| Main Street Care Center | Avon Lake | 3 of 5 | 8 | $16,801 | 24 Apr 2026 | |
| Avenue at North Ridgeville | North Ridgeville | 2 of 5 | 23 | $68,390 | 22 Feb 2023 | |
| Northridge Rehabilitation and Care Center | North Ridgeville | 2 of 5 | 27 | $0 | 6 Feb 2025 | |
| O'Neill Healthcare North Ridgeville | North Ridgeville | 5 of 5 | 2 | $0 | 19 Sep 2024 | |
| Life Care Center of Elyria | Elyria | 5 of 5 | 5 | $0 | 20 Apr 2023 | |
| Wesleyan Village | Elyria | 2 of 5 | 3 | $219,798 | 27 Feb 2025 | |
| Autumn Aegis Nursing Home | Lorain | 4 of 5 | 10 | $0 | 2 May 2024 | |
| Anchor Lodge Nursing Home Inc | Lorain | 3 of 5 | 4 | $20,678 | 4 Dec 2025 | |
| Lake Pointe Health Care | Lorain | 5 of 5 | 1 | $8,021 | 24 Oct 2024 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of St Mary of the Woods (CCN 366342). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/st-mary-of-the-woods-avon-oh-366342/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was St Mary of the Woods last inspected?
- The latest inspection with a citation in the CMS record was on 1 Jun 2026. It was a complaint investigation. It gave 1 citation. The standard survey before the last one was on 23 Jun 2022.
- Who operates St Mary of the Woods?
- The CMS record gives the ownership type as non-profit, corporation. CMS lists the home in the chain Saint Therese Senior Communities. The CMS ownership file names 3 organisations for operational or managerial control. This site does not show the names of persons.
- Is St Mary of the Woods a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 5 homes in Ohio as Special Focus Facilities and 25 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.