Main Street Care Center
Nursing Home · Avon Lake, OH
CMS certification number365865
Contact & location
500 Community DriveAvon Lake, OH 44012
Lorain County
- Phone
- (440) 930-6600
- ZIP code
- 44012 – all care providers
Facility details
- Certified beds
- 120
- Residents per day
- 111.4 (93% occupied)
- Ownership
- For profit - Corporation
- Legal name
- Main Street Care Center, LTD.
- Chain
- Sprenger Health Care Systems (12 facilities, avg 3.3★)
- Medicare certified since
- May 1, 1992
- Participates in
- Medicare and Medicaid
- Continuing care
- Part of a continuing care retirement community
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 3.52 (state 3.69 · U.S. 3.86)
- Registered nurses (RN)
- 0.68 (state 0.64 · U.S. 0.69)
- Licensed practical nurses
- 0.75 (state 0.95 · U.S. 0.86)
- Nurse aides
- 2.09 (state 2.09 · U.S. 2.32)
- Weekend total
- 3.26 (state 3.28 · U.S. 3.42)
- Nursing staff turnover
- 47.7 (state 48.7 · U.S. 45.8)%
- RN turnover
- 33.3 (state 43.9 · U.S. 42.9)%
- Administrators who left
- 0 in the last year
Inspections
- Last standard inspection
- April 24, 2026
- Health deficiencies (last cycle)
- 8.0 (state 10.7 · U.S. 9.3)
- From complaints
- 2
- Citations on record (3 years)
- 31 health · 19 fire safety · includes actual harm
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-04-24 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2026-05-13 |
| 2026-04-24 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2026-05-13 |
| 2026-04-24 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F0804 · Nutrition and Dietary Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2026-05-13 |
| 2026-04-24 | 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. F0761 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-05-13 |
| 2026-04-24 | 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. F0803 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-05-13 |
| 2026-04-24 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-05-13 |
| 2026-04-24 | Assist a resident in gaining access to vision and hearing services. F0685 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-05-13 |
| 2026-04-24 | 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. F0849 · Administration Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-05-13 |
| 2025-01-09 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-01-28 |
| 2025-01-09 | Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-01-28 |
| 2025-01-09 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-01-28 |
| 2025-01-09 | Ensure that residents are free from significant medication errors. F0760 · Pharmacy Service Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-01-28 |
| 2024-09-03 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2024-09-17 |
| 2024-09-03 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690 · Quality of Life and Care Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-09-17 |
| 2024-09-03 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-09-17 |
| 2024-09-03 | Ensure that a resident does not develop patterns of decreased social interaction and/or increased withdrawn, angry, or depressive behaviors, unless unavoidable. F0743 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-09-17 |
| 2024-06-06 | Reasonably accommodate the needs and preferences of each resident. F0558 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-06-27 |
| 2024-02-28 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2024-02-29 |
| 2023-09-22 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2023-10-06 |
| 2023-08-08 | Provide activities to meet all resident's needs. F0679 · Quality of Life and Care Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2023-08-23 |
| 2023-08-08 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2023-08-23 |
| 2023-08-08 | Ensure that residents are fully informed and understand their health status, care and treatments. F0552 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2023-08-23 |
| 2022-03-31 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2022-04-11 |
| 2022-03-31 | Report COVID19 data to residents and families. F0885 · Infection Control Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2022-04-11 |
| 2022-03-31 | 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. F0758 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2022-04-11 |
| 2022-03-31 | 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. F0584 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2022-04-11 |
| 2022-03-31 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2022-04-11 |
| 2022-03-31 | Provide safe, appropriate dialysis care/services for a resident who requires such services. F0698 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2022-04-11 |
| 2022-03-31 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2022-04-11 |
| 2022-03-31 | Post nurse staffing information every day. F0732 · Nursing and Physician Services Deficiencies |
C No actual harm, potential for minimal harm |
Corrected 2022-04-11 |
| 2022-03-31 | Dispose of garbage and refuse properly. F0814 · Nutrition and Dietary Deficiencies |
C No actual harm, potential for minimal harm |
Corrected 2022-04-11 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
1 penalty in the last three years, including $16,801 in fines.
| Date | Type | Amount |
|---|---|---|
| 2024-02-28 | Fine | $16,801 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Bluesky Healthcare INC (organization) | 5%+ Direct Ownership Interest · 50% | |
| Tca Investments, LTD. (organization) | 5%+ Direct Ownership Interest · 50% | |
| Hutsenpiller, Wendie (individual) | 5%+ Indirect Ownership Interest · 9% | |
| Kopf, Joanne (individual) | 5%+ Indirect Ownership Interest · 38% | |
| Malanowski, Kenneth (individual) | 5%+ Indirect Ownership Interest · 10% | |
| Sprenger, Nicole (individual) | 5%+ Indirect Ownership Interest · 15% | |
| Sprenger, Tracey (individual) | 5%+ Indirect Ownership Interest · 15% | |
| Bluesky Healthcare INC (organization) | Administrator · NOT APPLICABLE | |
| Bodziony, Andrea (individual) | Administrator · NOT APPLICABLE | |
| CMS & Co. Management Services, INC. (organization) | Administrator · NOT APPLICABLE | |
| Courtock, Melissa (individual) | Administrator · NOT APPLICABLE | |
| Epperly, Robert (individual) | Administrator · NOT APPLICABLE | |
| Fox, Emily (individual) | Administrator · NOT APPLICABLE | |
| Gollinger, Kristen (individual) | Administrator · NOT APPLICABLE | |
| Hutsenpiller, Wendie (individual) | Administrator · NOT APPLICABLE | |
| Kopf, Joanne (individual) | Administrator · NOT APPLICABLE | |
| Malanowki, Brandon (individual) | Administrator · NOT APPLICABLE | |
| Malanowski, Kenneth (individual) | Administrator · NOT APPLICABLE | |
| Marino-Freetage, Jaime (individual) | Administrator · NOT APPLICABLE | |
| Micale, Jacob (individual) | Administrator · NOT APPLICABLE | |
| Sprenger, Nicole (individual) | Administrator · NOT APPLICABLE | |
| Sprenger, Tracey (individual) | Administrator · NOT APPLICABLE | |
| Tca Investments, LTD. (organization) | Administrator · NOT APPLICABLE | |
| Tucker, Mattie (individual) | Administrator · NOT APPLICABLE | |
| Zraik, Bassem (individual) | Administrator · NOT APPLICABLE | |
| Malanowski, Kenneth (individual) | Corporate Director · NOT APPLICABLE | |
| Sprenger, Nicole (individual) | Corporate Director · NOT APPLICABLE | |
| Sprenger, Tracey (individual) | Corporate Director · NOT APPLICABLE | |
| Fox, Emily (individual) | Corporate Officer · NOT APPLICABLE | |
| Kuhn, Shannon (individual) | Corporate Officer · NOT APPLICABLE | |
| Malanowki, Brandon (individual) | Corporate Officer · NOT APPLICABLE | |
| Edelstein, Barry (individual) | Indirect Ownership Interest · NOT APPLICABLE | |
| 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 |
Frequently asked questions
What is the rating of Main Street Care Center?
Main Street Care Center has a 3-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.2-star average in Ohio.
How many beds does Main Street Care Center have?
It has 120 certified beds and cares for about 111 residents per day.
Has Main Street Care Center been fined?
Yes. CMS lists 1 penalty totaling $16,801 in the last three years.
Who owns Main Street Care Center?
It is part of Sprenger Health Care Systems and is classified as for profit - corporation. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of Main Street Care Center?
(440) 930-6600. The facility is located at 500 Community Drive, Avon Lake, OH 44012.
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.