Lorain County, Ohio · Nursing home
Main Street Care Center
3 of 5 overall from CMS
500 Community Drive, Avon Lake, OH 44012
At a glance
- Overall rating 3 of 5 Below the state average of 3.2
- Nurse time per resident, per day 3.52 hours Below the state average of 3.69
- Nursing staff who left in a year 47.7% Below the state average of 48.7%
- Health citations, last 3 inspection cycles 28 4 at the harm level or above
- Fines in 3 years $49,501 2 fines
- Certified beds in use 92.8% of 120 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Main Street Care Center is a 120-bed nursing home in Avon Lake, Ohio (Lorain County). CMS rates it 3 of 5 stars overall as of Sep 2026. It reports 3.52 nurse staffing hours per resident per day, below the Ohio average of 3.69. CMS lists 2 fines totaling $49,501 in the past three years.
- Certified beds
- 120
- Residents per day (average)
- 111.4
- Certified since
- 1992 (34 yrs)
For profit - Corporation Participates in Medicare and MedicaidPart of Sprenger Health Care Systems (12 homes)Continuing care retirement community
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Main Street Care Center
Chosen from this home's public data.
- CMS lists 2 fines totaling $49,501 in the past three years. What changed after the most recent one?Penalties in CMS data
- What is the daily private-pay rate, and are Medicaid beds available now?CMS does not publish prices
- Can we visit at a mealtime and again on a weekend?General
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 3 of 5 Ohio average 3.2
- Health inspections 2 of 5 Ohio average 2.8
- Staffing 3 of 5 Ohio average 2.4
- Quality measures 5 of 5 Ohio average 4.4
The vertical line marks the Ohio average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 3.52 h Ohio average 3.69
- Nurse aides 2.09 h Ohio average 2.09
- Licensed practical nurses 0.75 h Ohio average 0.95
- Registered nurses 0.68 h Ohio average 0.64
- All staff, weekends 3.26 h Ohio average 3.28
How much nurse staffing is enough? All bars share one scale, 0 to 11 hours. The vertical line marks the Ohio average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover47.7%
- Ohio average48.7%
- Registered nurse turnover33.3%
- Ohio average43.9%
- Administrators who left0
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Ohio and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Ohio | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 2.8% | 5.3% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 5.4% | 6.2% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.3% | 0.2% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 0.0% | 0.4% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 2.0% | 30.1% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 5.2% | 3.2% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.2% | 92.7% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 3.8% | 6.1% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 35.8% | 25.5% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 99.0% | 94.5% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 2.2% | 3.4% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 31.5% | 21.4% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 2.6% | 8.8% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 1.54 | 1.73 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 0.19 | 1.80 | 1.78 |
Short-stay residents
| Measure | This home | Ohio | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 95.1% | 78.5% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% | 1.2% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 89.3% | 75.6% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 24.5% | 24.9% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 9.1% | 12.9% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 28 health deficiencies in the three most recent inspection cycles. Of these, 4 involved actual harm; the rest were graded as no actual harm. 12 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Apr 24, 2026: Provide appropriate pressure ulcer care and prevent new ulcers from developing.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Apr 24, 2026 | 8 | 4 |
| Jun 6, 2024 | 9 | 8 |
| Mar 31, 2022 | 11 | 7 |
Ohio homes averaged 10.5 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (28)
-
GActual harm, isolated
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (May 13, 2026)
-
GActual harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (May 13, 2026)
-
FPotential for more than minimal harm, widespread
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary · Deficient, Provider has date of correction (May 13, 2026)
-
EPotential for more than minimal harm, pattern
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 · Deficient, Provider has date of correction (May 13, 2026)
-
EPotential for more than minimal harm, pattern
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 · Deficient, Provider has date of correction (May 13, 2026)
Show 23 more
-
EPotential for more than minimal harm, pattern
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (May 13, 2026)
-
DPotential for more than minimal harm, isolated
Assist a resident in gaining access to vision and hearing services.
Quality of Life and Care · Deficient, Provider has date of correction (May 13, 2026)
-
DPotential for more than minimal harm, isolated
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 · Deficient, Provider has date of correction (May 13, 2026)
-
DPotential for more than minimal harm, isolated
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Jan 28, 2025)
-
DPotential for more than minimal harm, isolated
Ensure each resident receives an accurate assessment.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jan 28, 2025)
-
DPotential for more than minimal harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Jan 28, 2025)
-
DPotential for more than minimal harm, isolated
Ensure that residents are free from significant medication errors.
Complaint investigation · Pharmacy Service · Deficient, Provider has date of correction (Jan 28, 2025)
-
GActual harm, isolated
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Sep 17, 2024)
-
EPotential for more than minimal harm, pattern
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Sep 17, 2024)
-
DPotential for more than minimal harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Sep 17, 2024)
-
DPotential for more than minimal harm, isolated
Ensure that a resident does not develop patterns of decreased social interaction and/or increased withdrawn, angry, or depressive behaviors, unless unavoidable.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Sep 17, 2024)
-
DPotential for more than minimal harm, isolated
Reasonably accommodate the needs and preferences of each resident.
Resident Rights · Deficient, Provider has date of correction (Jun 27, 2024)
-
GActual harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Feb 29, 2024)
-
DPotential for more than minimal harm, isolated
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Oct 6, 2023)
-
FPotential for more than minimal harm, widespread
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Apr 11, 2022)
-
FPotential for more than minimal harm, widespread
Report COVID19 data to residents and families.
Infection Control · Deficient, Provider has date of correction (Apr 11, 2022)
-
EPotential for more than minimal harm, pattern
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 · Deficient, Provider has date of correction (Apr 11, 2022)
-
DPotential for more than minimal harm, isolated
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 · Deficient, Provider has date of correction (Apr 11, 2022)
-
DPotential for more than minimal harm, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · Deficient, Provider has date of correction (Apr 11, 2022)
-
DPotential for more than minimal harm, isolated
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care · Deficient, Provider has date of correction (Apr 11, 2022)
-
DPotential for more than minimal harm, isolated
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 · Deficient, Provider has date of correction (Apr 11, 2022)
-
CPotential for minimal harm, widespread
Post nurse staffing information every day.
Nursing and Physician Services · Deficient, Provider has plan of correction (Apr 11, 2022)
-
CPotential for minimal harm, widespread
Dispose of garbage and refuse properly.
Nutrition and Dietary · Deficient, Provider has plan of correction (Apr 11, 2022)
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
| Date | Type | Amount |
|---|---|---|
| Apr 24, 2026 | Fine | $32,700 |
| Feb 28, 2024 | Fine | $16,801 |
Ohio homes averaged 0.6 fines and $26,381 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Ohio
- Size145 of 922 by certified beds
- Ohio average residents per day73.7
- ChainSprenger Health Care Systems
- Chain average overall rating3.5 of 5
- Resident or family councilResident
- Homes in Lorain County20
Common questions
What is the CMS star rating for Main Street Care Center?
Main Street Care Center has an overall rating of 3 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 2, staffing is 3 and quality measures is 5.
How many beds does Main Street Care Center have?
Main Street Care Center has 120 certified beds. It averages 111.4 residents per day, about 92.8% of its certified beds.
How much nursing care do residents get at Main Street Care Center?
The home reports 3.52 hours of nurse staffing per resident per day, including 0.68 hours from registered nurses. The Ohio average is 3.69 hours and 0.64 hours from registered nurses.
Has Main Street Care Center been fined?
Yes. CMS lists 2 fines totaling $49,501 in the past three years.
Does Main Street Care Center accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 5 of 5 St Mary of the Woods 50beds 87.2%in use 4.59nurse hours a day
- 5 of 5 Woods on French Creek Nursing & Rehab Center the 74beds 93.9%in use 3.07nurse hours a day
- 5 of 5 Avon Oaks Nursing Home 99beds 92.2%in use 4.53nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Lorain County
Who to call in Ohio
These offices serve residents of every nursing home in Ohio.
- Long-term care ombudsman Office of the State Long-Term Care Ombudsman 1-800-282-1206 An advocate for residents and their families.
- File a complaint about a nursing home Complaint Unit 1-800-342-0553 The state agency that inspects nursing homes.
Ohio staffing, bed-hold and Medicaid rules · Residents' rights in every state
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 365865. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.