Nursing homeActive

Main Street Terrace Care Center

1318 E Main Street, Lancaster, OH 43130740653876750 certified beds · 46 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
3
since 2022
Deficiencies
30
0291
Penalties · 3 yrs
1 action
Last survey
2025-12-31
Standard
CMS overall
4 / 5
stars as published by CMS
CMS overall 4/5
Health 3
Staffing 4
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
DateKindDeficienciesOfficial recordArchived PDF
2025-12-31Standard0100CMS-2567 (Care Compare)
2024-10-28Standard071CMS-2567 (Care Compare)
2022-10-31Standard0120CMS-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.

2025-12-31Standard survey · 10 deficienciesOfficial report
F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-02-10Record 366016-20251231-F582
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-02-10Record 366016-20251231-F610
F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-02-10Record 366016-20251231-F644
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-02-10Record 366016-20251231-F656
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-02-10Record 366016-20251231-F657
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-02-10Record 366016-20251231-F695
F757Ensure each resident’s drug regimen must be free from unnecessary drugs.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-02-10Record 366016-20251231-F757
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-02-10Record 366016-20251231-F804
F810Provide special eating equipment and utensils for residents who need them and appropriate assistance.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-02-10Record 366016-20251231-F810
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 2026-02-10Record 366016-20251231-F812
2024-10-28Standard survey · 8 deficienciesOfficial report
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 2024-12-06Record 366016-20241028-F686
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-06Record 366016-20241028-F580
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-12-06Record 366016-20241028-F656
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-06Record 366016-20241028-F677
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 2024-12-06Record 366016-20241028-F684
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 2024-12-06Record 366016-20241028-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 2024-12-06Record 366016-20241028-F760
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 2024-12-06Record 366016-20241028-F880
2022-10-31Standard survey · 12 deficienciesOfficial report
F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-12-14Record 366016-20221031-F578
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-12-14Record 366016-20221031-F580
F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-12-14Record 366016-20221031-F582
F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-12-14Record 366016-20221031-F623
F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-12-14Record 366016-20221031-F636
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-12-14Record 366016-20221031-F656
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-12-14Record 366016-20221031-F657
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 2022-12-14Record 366016-20221031-F686
F692Provide enough food/fluids to maintain a resident's health.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-12-14Record 366016-20221031-F692
F880Provide and implement an infection prevention and control program.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2022-12-14Record 366016-20221031-F880
F881Implement a program that monitors antibiotic use.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-12-14Record 366016-20221031-F881
F882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2022-12-14Record 366016-20221031-F882

Penalties & enforcement

DateActionAmountSource
2024-10-28Denial of payment for new admissions
Payment denial for 16 days, from 2024-11-20
CMS · Penalties

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.54
Facility
Ohio
National
Ohio 0.64 · National 0.69
Total nurse hours per resident day3.71
Facility
Ohio
National
Ohio 3.69 · National 3.86
Weekend total nurse hours3.41
Facility
Ohio
National
Ohio 3.28 · National 3.42
Total nursing staff turnover33%
Facility
Ohio
National
Ohio 49% · National 46%
Registered nurse turnover0%
Facility
Ohio
National
Ohio 44% · National 43%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityOhioNational
Percentage of long-stay residents with pressure ulcers
lower is better
0.9%3.4%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
3.7%3.2%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
6.9%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
6.3%5.3%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
3.8%6.2%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
20.9%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)
EntityRoleInterestSinceRegistry
Carecore At Main Street
Organization
5% OR GREATER DIRECT OWNERSHIP INTEREST100%
Hertanu, Chaim
Individual
5% OR GREATER INDIRECT OWNERSHIP INTEREST100%
Carecore Health LLC
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Lloyd, John
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Main Street Nursing Propco, LLC
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Wentz, Tracy
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Carecore At Main Street
Organization
ADP OF THE SNFNOT APPLICABLE
Carecore Health LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Hertanu, Chaim
Individual
ADP OF THE SNFNOT APPLICABLE
Lloyd, John
Individual
ADP OF THE SNFNOT APPLICABLE
Main Street Nursing Propco, LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Wentz, Tracy
Individual
ADP OF THE SNFNOT APPLICABLE

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 Fairfield.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Buckeye Care And Rehabilitation
Lancaster
0.9 mi2026-04-240291
The Springs At Wyandot Trail
Lancaster
1.7 mi2026-04-16090
Lanfair Center For Rehab & Nsg Care Inc
Lancaster
1.9 mi2025-06-110190
Luxe Rehabilitation And Care Center
Lancaster
4.2 mi2026-07-010876
Arbors At Carroll
Carroll
5.8 mi2026-05-190320
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

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01