Nursing homeActive
Main Street Care Center
500 Community Drive, Avon Lake, OH 440124409306600120 certified beds · 111 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
8
since 2022
Deficiencies
31
● 2● 25● 4
Penalties · 3 yrs
$16,801
1 fine
Last survey
2026-04-24
Standard
CMS overall
3 / 5
stars as published by CMS
CMS overall 3/5
Health 2
Staffing 3
Quality 5
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Ohio Department of Health · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-04-24 | Standard | 062 | CMS-2567 (Care Compare) | — |
| 2025-01-09 | Complaint | 040 | CMS-2567 (Care Compare) | — |
| 2024-09-03 | Complaint | 031 | CMS-2567 (Care Compare) | — |
| 2024-06-06 | Standard | 010 | CMS-2567 (Care Compare) | — |
| 2024-02-28 | Complaint | 001 | CMS-2567 (Care Compare) | — |
| 2023-09-22 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2023-08-08 | Complaint | 030 | CMS-2567 (Care Compare) | — |
| 2022-03-31 | Standard | 270 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Ohio Department of Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2026-05-13Record 365865-20260424-F686
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2026-05-13Record 365865-20260424-F689
F685Assist a resident in gaining access to vision and hearing services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-13Record 365865-20260424-F685
F761Ensure 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.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-05-13Record 365865-20260424-F761
F803Ensure 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.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-05-13Record 365865-20260424-F803
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2026-05-13Record 365865-20260424-F804
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-05-13Record 365865-20260424-F812
F849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-13Record 365865-20260424-F849
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-01-28Record 365865-20250109-F609
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-01-28Record 365865-20250109-F641
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-01-28Record 365865-20250109-F689
F760Ensure that residents are free from significant medication errors.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-01-28Record 365865-20250109-F760
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-09-17Record 365865-20240903-F686
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-17Record 365865-20240903-F689
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-09-17Record 365865-20240903-F690
F743Ensure that a resident does not develop patterns of decreased social interaction and/or increased withdrawn, angry, or depressive behaviors, unless unavoidable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-17Record 365865-20240903-F743
F558Reasonably accommodate the needs and preferences of each resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-27Record 365865-20240606-F558
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-02-29Record 365865-20240228-F689
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-06Record 365865-20230922-F686
F552Ensure that residents are fully informed and understand their health status, care and treatments.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-08-23Record 365865-20230808-F552
F679Provide activities to meet all resident's needs.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-08-23Record 365865-20230808-F679
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-08-23Record 365865-20230808-F880
F584Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-04-11Record 365865-20220331-F584
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-04-11Record 365865-20220331-F684
F698Provide safe, appropriate dialysis care/services for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-04-11Record 365865-20220331-F698
F758Implement 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.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-04-11Record 365865-20220331-F758
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2022-04-11Record 365865-20220331-F812
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-04-11Record 365865-20220331-F842
F885Report COVID19 data to residents and families.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2022-04-11Record 365865-20220331-F885
F732Post nurse staffing information every day.Scope/severity CPaperwork
Staffing
Widespread; potential for minimal harm.Corrected 2022-04-11Record 365865-20220331-F732
F814Dispose of garbage and refuse properly.Scope/severity CPaperwork
Food & nutrition
Widespread; potential for minimal harm.Corrected 2022-04-11Record 365865-20220331-F814
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2024-02-28 | Civil money penalty | $16,801 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.68
Facility
Ohio
National
Ohio 0.64 · National 0.69
Total nurse hours per resident day3.52
Facility
Ohio
National
Ohio 3.69 · National 3.86
Weekend total nurse hours3.26
Facility
Ohio
National
Ohio 3.28 · National 3.42
Total nursing staff turnover48%
Facility
Ohio
National
Ohio 49% · National 46%
Registered nurse turnover33%
Facility
Ohio
National
Ohio 44% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Ohio | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 2.2% | 3.4% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 5.2% | 3.2% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 2.6% | 8.8% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.0% | 0.4% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 2.8% | 5.3% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 5.4% | 6.2% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 35.8% | 25.5% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Bluesky Healthcare Inc Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | — | — |
| Tca Investments, Ltd. Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | — | — |
| Hutsenpiller, Wendie Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 9% | — | — |
| Kopf, Joanne Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 38% | — | — |
| Malanowski, Kenneth Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 10% | — | — |
| Sprenger, Nicole Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 15% | — | — |
| Sprenger, Tracey Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 15% | — | — |
| Bodziony, Andrea Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Cms & Co. Management Services, Inc. Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Courtock, Melissa Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Epperly, Robert Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Fox, Emily Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Gollinger, Kristen Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Kuhn, Shannon Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Malanowki, Brandon Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Marino-Freetage, Jaime Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Micale, Jacob Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Tucker, Mattie Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Zraik, Bassem Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Bluesky Healthcare Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Bodziony, Andrea Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Cms & Co. Management Services, Inc. Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Courtock, Melissa Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Edelstein, Barry Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Epperly, Robert Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Fox, Emily Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Fox, Emily Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Gollinger, Kristen Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Hutsenpiller, Wendie Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Kopf, Joanne Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Kuhn, Shannon Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Malanowki, Brandon Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Malanowki, Brandon Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Malanowski, Kenneth Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Malanowski, Kenneth Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Marino-Freetage, Jaime Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Micale, Jacob Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Sprenger, Nicole Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Sprenger, Nicole Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Sprenger, Tracey Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Sprenger, Tracey Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Tca Investments, Ltd. Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Tucker, Mattie Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Zraik, Bassem Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
Part of a chain
Sprenger Health Care Systems — 12 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Ohio.
No county cost figures on file for Lorain.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| St Mary Of The Woods Avon | 2.7 mi | 2026-06-01 | 040 |
| Woods On French Creek Nursing & Rehab Center The Avon | 2.7 mi | 2026-06-16 | 012 |
| Avon Oaks Nursing Home Avon | 3.3 mi | 2026-03-19 | 0150 |
| Avon Place Healthcare Center Avon | 3.7 mi | 2026-03-18 | 0120 |
| O'neill Healthcare Bay Village Bay Village | 3.6 mi | 2026-01-21 | 2240 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |