nursing home in Avon Lake, OH
Main Street Care Center
500 Community Drive, Avon Lake, OH 44012 · (440) 930-6600
★★★★★3
Average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★3
- Quality measures★★★★★5
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Main Street Care Center at a glance
Main Street Care Center is a 120-bed for-profit nursing home in Avon Lake, Ohio (Lorain County).
CMS gives it 3 out of 5 stars on its overall star rating, close to the Ohio average of 3.2.
Residents receive about 3.5 hours of nursing care per day (0.7 of them from registered nurses), close to the state average of 3.7 hours.
Its most recent standard health inspection (April 24, 2026) found 8 health citations. The Ohio average is 10.3.
Federal regulators fined it 2 times in the past three years, totaling $49,501.
Nursing staff turnover is 47.7% per year (state average 48.7%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Corporation
- Beds
- 120
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Sprenger Health Care Systems
- Medicare-certified since
- May 1, 1992
- Continuing care retirement community
- Yes
- Resident/family council
- Resident
- County
- Lorain County
- CMS Certification Number
- 365865
Ratings
| Measure | This facility | Ohio avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 3 / 5 | 3.2 / 5 | 3 / 5 | Average |
| Health inspection rating ⓘ (higher is better) | 2 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 3 / 5 | 2.4 / 5 | 2.9 / 5 | Average |
| Quality measures rating ⓘ (higher is better) | 5 / 5 | 4.4 / 5 | 3.6 / 5 | Better |
| Long-stay quality rating (higher is better) | 5 / 5 | 4.8 / 5 | 3.8 / 5 | Better |
| Short-stay (rehab) quality rating (higher is better) | 4 / 5 | 3.3 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | Ohio avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.52 hrs | 3.69 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.68 hrs | 0.64 hrs | 0.69 hrs | Average |
| Nurse aide hours per resident per day (higher is better) | 2.09 hrs | 2.09 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 3.26 hrs | 3.28 hrs | 3.42 hrs | Average |
| Nursing staff turnover (yearly) (lower is better) | 47.7% | 48.7% | 45.8% | Average |
| Registered nurse turnover (yearly) (lower is better) | 33.3% | 43.9% | 42.9% | Better |
| Administrators who left in the past year (lower is better) | 0 | 1 | 1 | Better |
Inspections
| Measure | This facility | Ohio avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 8 | 10 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 2 | 4 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 86 | 80.7 | 80.6 | Worse |
Penalties
| Measure | This facility | Ohio avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 2 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $49,501 | $26,381 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 2 | 1 | 1 | Worse |
Size
| Measure | This facility | Ohio avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 120 | 88 | 107 | |
| Average residents per day | 111 | 74 | 86 | |
| Occupancy | 92.8% | 84.3% | 80.9% |
Long-stay residents
| Measure | This facility | Ohio avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 5.2% | 3.2% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 2.2% | 3.4% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 2.6% | 8.8% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 0% | 0.4% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.3% | 0.2% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 2.8% | 5.3% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 3.8% | 6.1% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 5.4% | 6.2% | 5.2% | Average |
| Long-stay residents with depressive symptoms (lower is better) | 2% | 30.1% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.1% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 35.8% | 25.5% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 31.5% | 21.4% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 99% | 94.5% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 98.2% | 92.7% | 93.6% | Average |
Short-stay residents
| Measure | This facility | Ohio avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0% | 1.2% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 89.3% | 75.6% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 95.1% | 78.5% | 82% | Better |
Inspection citations
State inspectors cited this home for 28 health deficiencies and 19 fire safety deficiencies in the inspection records CMS currently publishes. 4 citations involved actual harm.
| Date | Citation | Severity | Status |
|---|---|---|---|
| April 24, 2026 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | F Potential harm, widespread | Corrected May 8, 2026 |
| April 24, 2026 Fire safety | Have power receptacles that are properly grounded. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0912 | E Potential harm, pattern | Corrected May 8, 2026 |
| April 24, 2026 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | E Potential harm, pattern | Corrected May 8, 2026 |
| April 24, 2026 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | E Potential harm, pattern | Corrected May 8, 2026 |
| April 24, 2026 Complaint | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | G Actual harm, isolated | Corrected May 13, 2026 |
| April 24, 2026 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | G Actual harm, isolated | Corrected May 13, 2026 |
| April 24, 2026 Standard | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | F Potential harm, widespread | Corrected May 13, 2026 |
| April 24, 2026 Standard | 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. Nutrition and Dietary Deficiencies · Tag F0803 | E Potential harm, pattern | Corrected May 13, 2026 |
| April 24, 2026 Standard | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Tag F0761 | E Potential harm, pattern | Corrected May 13, 2026 |
| April 24, 2026 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected May 13, 2026 |
| April 24, 2026 Standard | Assist a resident in gaining access to vision and hearing services. Quality of Life and Care Deficiencies · Tag F0685 | D Potential harm, isolated | Corrected May 13, 2026 |
| April 24, 2026 Standard | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. Administration Deficiencies · Tag F0849 | D Potential harm, isolated | Corrected May 13, 2026 |
| January 9, 2025 Complaint | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | D Potential harm, isolated | Corrected January 28, 2025 |
| January 9, 2025 Complaint | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected January 28, 2025 |
| January 9, 2025 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected January 28, 2025 |
| January 9, 2025 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected January 28, 2025 |
| September 3, 2024 Complaint | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | G Actual harm, isolated | Corrected September 17, 2024 |
| September 3, 2024 Complaint | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | E Potential harm, pattern | Corrected September 17, 2024 |
| September 3, 2024 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected September 17, 2024 |
| September 3, 2024 Complaint | Ensure that a resident does not develop patterns of decreased social interaction and/or increased withdrawn, angry, or depressive behaviors, unless unavoidable. Quality of Life and Care Deficiencies · Tag F0743 | D Potential harm, isolated | Corrected September 17, 2024 |
| June 6, 2024 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected June 27, 2024 |
| June 6, 2024 Fire safety | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Tag K0291 | F Potential harm, widespread | Corrected June 27, 2024 |
| June 6, 2024 Fire safety | Meet requirements for sections of health care facilities separated by fire resistive construction. Construction Deficiencies · Tag K0131 | F Potential harm, widespread | Corrected June 27, 2024 |
| June 6, 2024 Fire safety | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Tag K0222 | F Potential harm, widespread | Corrected June 27, 2024 |
| June 6, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected June 27, 2024 |
| June 6, 2024 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | E Potential harm, pattern | Corrected June 27, 2024 |
| June 6, 2024 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | E Potential harm, pattern | Corrected June 27, 2024 |
| June 6, 2024 Fire safety | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923 | E Potential harm, pattern | Corrected June 27, 2024 |
| June 6, 2024 Standard | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Tag F0558 | D Potential harm, isolated | Corrected June 27, 2024 |
| February 28, 2024 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | G Actual harm, isolated | Corrected February 29, 2024 |
| September 22, 2023 Complaint | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | D Potential harm, isolated | Corrected October 6, 2023 |
| March 31, 2022 Fire safety | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923 | F Potential harm, widespread | Corrected April 11, 2022 |
| March 31, 2022 Fire safety | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Tag K0222 | F Potential harm, widespread | Corrected April 11, 2022 |
| March 31, 2022 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | F Potential harm, widespread | Corrected April 11, 2022 |
| March 31, 2022 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected April 11, 2022 |
| March 31, 2022 Fire safety | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Tag K0741 | F Potential harm, widespread | Corrected April 11, 2022 |
| March 31, 2022 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected April 11, 2022 |
| March 31, 2022 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | E Potential harm, pattern | Corrected April 11, 2022 |
| March 31, 2022 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected April 11, 2022 |
| March 31, 2022 Standard | Report COVID19 data to residents and families. Infection Control Deficiencies · Tag F0885 | F Potential harm, widespread | Corrected April 11, 2022 |
| March 31, 2022 Standard | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Pharmacy Service Deficiencies · Tag F0758 | E Potential harm, pattern | Corrected April 11, 2022 |
| March 31, 2022 Standard | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0698 | D Potential harm, isolated | Corrected April 11, 2022 |
| March 31, 2022 Standard | 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. Resident Rights Deficiencies · Tag F0584 | D Potential harm, isolated | Corrected April 11, 2022 |
| March 31, 2022 Standard | 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 Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected April 11, 2022 |
| March 31, 2022 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected April 11, 2022 |
| March 31, 2022 Standard | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Tag F0732 | C No harm, widespread | Corrected April 11, 2022 |
| March 31, 2022 Standard | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Tag F0814 | C No harm, widespread | Corrected April 11, 2022 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 2 federal penalties in the past three years, including $49,501 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| April 24, 2026 | Fine | $32,700 |
| February 28, 2024 | Fine | $16,801 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| BLUESKY HEALTHCARE INC Organization | 5% or greater direct ownership interest | 50% | 01/01/2008 |
| TCA INVESTMENTS, LTD. Organization | 5% or greater direct ownership interest | 50% | 01/01/2008 |
| HUTSENPILLER, WENDIE Individual | 5% or greater indirect ownership interest | 9% | 11/04/2012 |
| KOPF, JOANNE Individual | 5% or greater indirect ownership interest | 38% | 12/08/2023 |
| MALANOWSKI, KENNETH Individual | 5% or greater indirect ownership interest | 10% | 11/04/2012 |
| SPRENGER, NICOLE Individual | 5% or greater indirect ownership interest | 15% | 01/01/2008 |
| SPRENGER, TRACEY Individual | 5% or greater indirect ownership interest | 15% | 01/01/2008 |
| BLUESKY HEALTHCARE INC Organization | adp of the snf | NOT APPLICABLE | 01/03/2025 |
| BODZIONY, ANDREA Individual | adp of the snf | NOT APPLICABLE | 11/18/2024 |
| CMS & CO. MANAGEMENT SERVICES, INC. Organization | adp of the snf | NOT APPLICABLE | 02/13/2025 |
| COURTOCK, MELISSA Individual | adp of the snf | NOT APPLICABLE | 12/02/2002 |
| EPPERLY, ROBERT Individual | adp of the snf | NOT APPLICABLE | 01/20/2022 |
| FOX, EMILY Individual | adp of the snf | NOT APPLICABLE | 12/31/2024 |
| GOLLINGER, KRISTEN Individual | adp of the snf | NOT APPLICABLE | 11/13/2000 |
| HUTSENPILLER, WENDIE Individual | adp of the snf | NOT APPLICABLE | 11/04/2012 |
| KOPF, JOANNE Individual | adp of the snf | NOT APPLICABLE | 12/08/2023 |
| MALANOWKI, BRANDON Individual | adp of the snf | NOT APPLICABLE | 12/31/2024 |
| MALANOWSKI, KENNETH Individual | adp of the snf | NOT APPLICABLE | 01/01/2013 |
| MARINO-FREETAGE, JAIME Individual | adp of the snf | NOT APPLICABLE | 03/01/2011 |
| MICALE, JACOB Individual | adp of the snf | NOT APPLICABLE | 02/20/2023 |
| SPRENGER, NICOLE Individual | adp of the snf | NOT APPLICABLE | 01/01/2008 |
| SPRENGER, TRACEY Individual | adp of the snf | NOT APPLICABLE | 01/01/2008 |
| TCA INVESTMENTS, LTD. Organization | adp of the snf | NOT APPLICABLE | 01/21/2025 |
| TUCKER, MATTIE Individual | adp of the snf | NOT APPLICABLE | 06/24/2024 |
| ZRAIK, BASSEM Individual | adp of the snf | NOT APPLICABLE | 01/01/2023 |
| MALANOWSKI, KENNETH Individual | corporate director | NOT APPLICABLE | 01/01/2013 |
| SPRENGER, NICOLE Individual | corporate director | NOT APPLICABLE | 10/01/2013 |
| SPRENGER, TRACEY Individual | corporate director | NOT APPLICABLE | 01/01/2013 |
| FOX, EMILY Individual | corporate officer | NOT APPLICABLE | 12/31/2024 |
| KUHN, SHANNON Individual | corporate officer | NOT APPLICABLE | 12/31/2024 |
| MALANOWKI, BRANDON Individual | corporate officer | NOT APPLICABLE | 12/31/2024 |
| EDELSTEIN, BARRY Individual | indirect ownership interest | NOT APPLICABLE | 01/01/2008 |
| BODZIONY, ANDREA Individual | operational/managerial control | NOT APPLICABLE | 11/18/2024 |
| CMS & CO. MANAGEMENT SERVICES, INC. Organization | operational/managerial control | NOT APPLICABLE | 01/01/2008 |
| COURTOCK, MELISSA Individual | operational/managerial control | NOT APPLICABLE | 12/02/2002 |
| EPPERLY, ROBERT Individual | operational/managerial control | NOT APPLICABLE | 01/20/2022 |
| FOX, EMILY Individual | operational/managerial control | NOT APPLICABLE | 12/31/2024 |
| GOLLINGER, KRISTEN Individual | operational/managerial control | NOT APPLICABLE | 11/13/2000 |
| KUHN, SHANNON Individual | operational/managerial control | NOT APPLICABLE | 12/31/2024 |
| MALANOWKI, BRANDON Individual | operational/managerial control | NOT APPLICABLE | 12/31/2024 |
Showing 40 of 44 records.
Other nursing homes near Main Street Care Center
St Mary of the Woods
35755 Detroit Road, Avon, OH 44011 · 2.7 mi
Non-profit · 50 beds · Part of Saint Therese Senior Communities
- CMS high performer
★★★★★5Much above averageWoods on French Creek Nursing & Rehab Center the
37845 Colorado Avenue, Avon, OH 44011 · 2.7 mi
For-profit · 74 beds · Part of Foundations Health Solutions
★★★★★5Much above averageAvon Oaks Nursing Home
37800 French Creek Rd, Avon, OH 44011 · 3.3 mi
For-profit · 99 beds · Part of Colev Gestetner
- CMS high performer
★★★★★5Much above averageO'Neill Healthcare Bay Village
605 Bradley Rd, Bay Village, OH 44140 · 3.6 mi
For-profit · 138 beds · Part of O'Neill Healthcare
★★★★★2Below average- ★★★★★2Below average
- ★★★★★2Below average
Frequently asked questions
What is Main Street Care Center's rating?
Main Street Care Center has 3 out of 5 stars on the CMS overall star rating. The average for Ohio nursing homes is 3.2 stars.
How many inspection citations did Main Street Care Center receive?
Its most recent standard health inspection found 8 citations, compared with a Ohio average of 10.3. Every citation is listed on this page with its severity.
Does Main Street Care Center accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Main Street Care Center?
It is for profit - corporation and part of Sprenger Health Care Systems. The ownership section on this page lists the owners and managers reported to CMS.
Where is Main Street Care Center and how do I contact it?
Main Street Care Center is at 500 Community Drive, Avon Lake, OH 44012. Phone: (440) 930-6600.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.