Ohio › Lorain County › Avon Lake
Main Street Care Center
500 Community Drive, Avon Lake, OH 44012
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Main Street Care Center is a For-profit, corporation nursing home in Avon Lake, Ohio, certified for 120 beds and caring for about 111 residents a day.
CMS gives it 3 of 5 stars overall, equal to the Ohio median; the health inspection rating is 2, staffing 3 and quality measures 5.
Inspectors recorded 31 health deficiencies across the three most recent survey cycles (8, 9, 14 by cycle, most recent first), 4 of them at the actual-harm or immediate-jeopardy level. That is 25.8 per 100 beds, fewer than the state median of 33.3.
CMS lists 1 penalty in the period covered: fines totalling $17K.
Reported nurse staffing is 3.5 hours per resident per day (0.7 RN), close to the Ohio median of 3.6; nursing staff turnover is 47.7%.
Compared with county, state and nation
| Measure | This facility | Lorain Co. median | Ohio median | US average |
|---|---|---|---|---|
| Overall star rating | 3 | 4 | 3 | 3.0 |
| Health citations, 3 cycles | 31 | 22 | 27 | 28.7 |
| Citations per 100 beds | 25.8 | 22.2 | 33.3 | 26.8 |
| Total nurse hours per resident day | 3.5 | 3.5 | 3.6 | 3.9 |
| RN hours per resident day | 0.7 | 0.6 | 0.6 | 0.7 |
| Nursing staff turnover | 47.7% | 47.7% | 48.5% | 45.8% |
| Fines listed | $16,801 | $0 | $0 | — |
County and state figures are medians across facilities (20 in the county, 922 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Ohio average per facility for the same cycle, as published by CMS. Standard health survey dates: 24 Apr 2026, 6 Jun 2024.
Severity mix: G ×4 D ×15 E ×7 F ×3 C ×2
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 24 Apr 2026 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Complaint investigation | 13 May 2026 |
| 24 Apr 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 13 May 2026 |
| 24 Apr 2026 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | Standard survey | 13 May 2026 |
| 24 Apr 2026 | F0761 | 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. | E | Standard survey | 13 May 2026 |
| 24 Apr 2026 | F0803 | 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. | E | Standard survey | 13 May 2026 |
| 24 Apr 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 13 May 2026 |
| 24 Apr 2026 | F0685 | Assist a resident in gaining access to vision and hearing services. | D | Standard survey | 13 May 2026 |
| 24 Apr 2026 | F0849 | 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. | D | Standard survey | 13 May 2026 |
| 9 Jan 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 28 Jan 2025 |
| 9 Jan 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Complaint investigation | 28 Jan 2025 |
| 9 Jan 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 28 Jan 2025 |
| 9 Jan 2025 | F0760 | Ensure that residents are free from significant medication errors. | D | Complaint investigation | 28 Jan 2025 |
| 3 Sep 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Complaint investigation | 17 Sep 2024 |
| 3 Sep 2024 | 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. | E | Complaint investigation | 17 Sep 2024 |
| 3 Sep 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 17 Sep 2024 |
| 3 Sep 2024 | F0743 | Ensure that a resident does not develop patterns of decreased social interaction and/or increased withdrawn, angry, or depressive behaviors, unless unavoidable. | D | Complaint investigation | 17 Sep 2024 |
| 6 Jun 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 27 Jun 2024 |
| 28 Feb 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 29 Feb 2024 |
| 22 Sep 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 6 Oct 2023 |
| 8 Aug 2023 | F0679 | Provide activities to meet all resident's needs. | E | Complaint investigation | 23 Aug 2023 |
| 8 Aug 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 23 Aug 2023 |
| 8 Aug 2023 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Complaint investigation | 23 Aug 2023 |
| 31 Mar 2022 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 11 Apr 2022 |
| 31 Mar 2022 | F0885 | Report COVID19 data to residents and families. | F | Standard survey | 11 Apr 2022 |
| 31 Mar 2022 | F0758 | 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. | E | Standard survey | 11 Apr 2022 |
| 31 Mar 2022 | F0584 | 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. | D | Standard survey | 11 Apr 2022 |
| 31 Mar 2022 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 11 Apr 2022 |
| 31 Mar 2022 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 11 Apr 2022 |
| 31 Mar 2022 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 11 Apr 2022 |
| 31 Mar 2022 | F0732 | Post nurse staffing information every day. | C | Standard survey | 11 Apr 2022 |
| 31 Mar 2022 | F0814 | Dispose of garbage and refuse properly. | C | Standard survey | 11 Apr 2022 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 28 Feb 2024 | Fine | $16,801 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Ohio average. Turnover: nursing staff 47.7%, RNs 33.3%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Ohio median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 2.8% | 4.3% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.3% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 0.0% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 5.2% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 3.8% | 4.9% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.2% | 3.0% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 2.6% | 7.5% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, corporation. Legal business name: Main Street Care Center, Ltd.. Chain: Sprenger Health Care Systems (12 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Bluesky Healthcare Inc | 5% or greater direct ownership interest | 50% | 01/01/2008 |
| Tca Investments, Ltd. | 5% or greater direct ownership interest | 50% | 01/01/2008 |
| Cms & Co. Management Services, Inc. | Operational/managerial control | NOT APPLICABLE | 01/01/2008 |
| Bluesky Healthcare Inc | Adp of the snf | NOT APPLICABLE | 01/03/2025 |
| Cms & Co. Management Services, Inc. | Adp of the snf | NOT APPLICABLE | 02/13/2025 |
| Tca Investments, Ltd. | Adp of the snf | NOT APPLICABLE | 01/21/2025 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Lorain County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Avon Oaks Nursing Home | Avon | 99 | 5 | 4 | 4 | 15 | 15.2 | — | 19 Mar 2026 |
| Elms Retirement Village Inc | Wellington | 60 | 5 | 5 | 3 | 16 | 26.7 | — | 2 May 2025 |
| Kendal At Oberlin | Oberlin | 5 | 5 | 5 | — | 0 | 0.0 | — | — |
| Keystone Pointe Health and Rehabilitation | Lagrange | 121 | 5 | 5 | 2 | 5 | 4.1 | — | 13 Jul 2023 |
| Kingston Health Center of Vermilion | Vermilion | 120 | 5 | 4 | 3 | 24 | 20.0 | — | 24 Dec 2025 |
| Lake Pointe Health Care | Lorain | 99 | 5 | 4 | 2 | 20 | 20.2 | $8K | 9 Apr 2025 |
| Life Care Center of Elyria | Elyria | 99 | 5 | 4 | 3 | 22 | 22.2 | — | 20 Apr 2023 |
| O'Neill Healthcare North Ridgeville | North Ridgeville | 150 | 5 | 5 | 2 | 10 | 6.7 | — | 16 Sep 2025 |
All 20 facilities in Lorain County
Questions and answers
How many deficiencies has Main Street Care Center been cited for?
31 health deficiencies across the three most recent survey cycles, 4 at the actual-harm or immediate-jeopardy level. The Ohio median is 27 per facility.
Has Main Street Care Center been fined?
Yes. CMS lists fines totalling $17K in the period covered.
How does staffing at Main Street Care Center compare?
Reported total nurse staffing is 3.5 hours per resident per day against a Ohio median of 3.6 and a national average of 3.9.
Who operates Main Street Care Center?
It is part of the Sprenger Health Care Systems chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Bluesky Healthcare Inc, Tca Investments, Ltd. and Cms & Co. Management Services, Inc.. Individual owners and managers are not listed on this site.
When was Main Street Care Center last inspected?
The most recent survey or investigation in the CMS record is dated 24 Apr 2026; the most recent standard health survey was 24 Apr 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.