Main Street Care Center
500 Community Drive, Avon Lake, OH 44012 · Lorain County · 120 certified beds · avg 111 residents/day · certified since May 1, 1992
Part of chain: SPRENGER HEALTH CARE SYSTEMS (12 facilities, chain avg rating 3.3★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 3/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Apr 24, 2026 · F-0686 · triggered by a complaint
The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: May 13, 2026 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Apr 24, 2026 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: May 13, 2026 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Sep 3, 2024 · F-0686 · triggered by a complaint
The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Sep 17, 2024 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Feb 28, 2024 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Feb 29, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (31)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Apr 24, 2026 | ▲ G · Actual harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint |
| Apr 24, 2026 | ▲ G · Actual harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Apr 24, 2026 | F · Potential for harm, facility-wide | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| Apr 24, 2026 | E · Potential for harm, repeated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Apr 24, 2026 | E · Potential for harm, repeated | The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. |
| Apr 24, 2026 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Apr 24, 2026 | D · Potential for harm, one-off | The facility did not help a resident get vision and hearing services — such as eye exams, glasses, hearing tests, or hearing aids. |
| Apr 24, 2026 | D · Potential for harm, one-off | The facility did not arrange hospice services for a resident who needed them, or help the resident move to a facility that could arrange hospice. Hospice provides comfort-focused care for people nearing the end of life. |
| Jan 9, 2025 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| Jan 9, 2025 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · from a complaint |
| Jan 9, 2025 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Jan 9, 2025 | D · Potential for harm, one-off | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint |
| Sep 3, 2024 | ▲ G · Actual harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint |
| Sep 3, 2024 | E · Potential for harm, repeated | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · from a complaint |
| Sep 3, 2024 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Sep 3, 2024 | D · Potential for harm, one-off | The facility did not prevent a resident from becoming increasingly withdrawn, angry, or depressed, or from losing social connection, when that decline was avoidable. · from a complaint |
| Jun 6, 2024 | D · Potential for harm, one-off | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. |
| Feb 28, 2024 | ▲ G · Actual harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Sep 22, 2023 | D · Potential for harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint |
| Aug 8, 2023 | E · Potential for harm, repeated | The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. · from a complaint |
| Aug 8, 2023 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint |
| Aug 8, 2023 | D · Potential for harm, one-off | The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand. · from a complaint |
| Mar 31, 2022 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Mar 31, 2022 | F · Potential for harm, facility-wide | The facility did not report COVID-19 data to residents and their families as required. Facilities must keep residents and families informed about COVID-19 cases. |
| Mar 31, 2022 | E · Potential for harm, repeated | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
| Mar 31, 2022 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Mar 31, 2022 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Mar 31, 2022 | D · Potential for harm, one-off | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. |
| Mar 31, 2022 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Mar 31, 2022 | C · Minimal risk, facility-wide | The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. |
| Mar 31, 2022 | C · Minimal risk, facility-wide | The facility did not dispose of garbage and refuse properly. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (1 → 8).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 9 | 0 | F |
| 2023 | 4 | 0 | E |
| 2024 | 6 | 2 | G ▲ |
| 2025 | 4 | 0 | D |
| 2026 | 8 | 2 | G ▲ |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
1 fine totaling $16,801.
| Date | Type | Amount / length |
|---|---|---|
| Feb 28, 2024 | Fine | $16,801 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Ohio avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.37 | 3.45 | 3.95 | top 45% in Ohio; bottom 30% in the U.S. |
| Registered Nurse hours | 0.65 | 0.60 | 0.69 | top 31% in Ohio; top 42% in the U.S. |
| Weekend total nurse staffing | 3.12 | 3.07 | 3.50 | top 36% in Ohio; bottom 38% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.57 | 0.42 | 0.48 | top 18% in Ohio; top 26% in the U.S. |
| Total nursing staff turnover (%) | 47.7 | 48.7 | 45.8 | top 48% in Ohio; bottom 43% in the U.S. |
| RN turnover (%) | 33.3 | 43.9 | 42.9 | top 31% in Ohio; top 33% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.52, RN 0.68, weekend 3.26. Staffing rating: 3/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 4/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Bluesky Healthcare INC | Organization | 5% or Greater Direct Ownership Interest | 50% | 01/01/2008 |
| Edelstein, Barry | Individual | Indirect Ownership Interest | NOT APPLICABLE | 01/01/2008 |
| Hutsenpiller, Wendie | Individual | 5% or Greater Indirect Ownership Interest | 9% | 11/04/2012 |
| Kopf, Joanne | Individual | 5% or Greater Indirect Ownership Interest | 38% | 12/08/2023 |
| Malanowski, Kenneth | Individual | 5% or Greater Indirect Ownership Interest | 10% | 11/04/2012 |
| Sprenger, Nicole | Individual | 5% or Greater Indirect Ownership Interest | 15% | 01/01/2008 |
| Sprenger, Tracey | Individual | 5% or Greater Indirect Ownership Interest | 15% | 01/01/2008 |
| Tca Investments, LTD. | Organization | 5% or Greater Direct Ownership Interest | 50% | 01/01/2008 |
| Bluesky Healthcare INC | Organization | ADP of the SNF | NOT APPLICABLE | 01/03/2025 |
| Bodziony, Andrea | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/18/2024 |
| Bodziony, Andrea | Individual | ADP of the SNF | NOT APPLICABLE | 11/18/2024 |
| CMS & Co. Management Services, INC. | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/2008 |
| CMS & Co. Management Services, INC. | Organization | ADP of the SNF | NOT APPLICABLE | 02/13/2025 |
| Courtock, Melissa | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/02/2002 |
| Courtock, Melissa | Individual | ADP of the SNF | NOT APPLICABLE | 12/02/2002 |
| Epperly, Robert | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/20/2022 |
| Epperly, Robert | Individual | ADP of the SNF | NOT APPLICABLE | 01/20/2022 |
| Fox, Emily | Individual | Corporate Officer | NOT APPLICABLE | 12/31/2024 |
| Fox, Emily | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/31/2024 |
| Fox, Emily | Individual | ADP of the SNF | NOT APPLICABLE | 12/31/2024 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Could I join residents for a meal to see the food quality and temperature for myself?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How do you arrange eye and hearing care for residents, including appointments and equipment like glasses or hearing aids?"
- "How do you coordinate hospice care, and can residents stay here while receiving it?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| St Mary of the Woods | 2.7 mi | Avon, OH | ★★★★☆ | 4/5 | |
| Woods on French Creek Nursing & Rehab Center the | 2.7 mi | Avon, OH | ★★★★☆ | 3/5 | |
| Avon Oaks Nursing Home | 3.3 mi | Avon, OH | ★★★★★ | 4/5 | |
| O'Neill Healthcare Bay Village | 3.6 mi | Bay Village, OH | ★★☆☆☆ | 2/5 | |
| Avon Place Healthcare Center | 3.7 mi | Avon, OH | ★★☆☆☆ | 3/5 | |
| Rae Ann Suburban | 4.6 mi | Westlake, OH | ★★☆☆☆ | 1/5 | |
| Rae-Ann Westlake | 5.1 mi | Westlake, OH | ★★★★☆ | 4/5 | |
| Huntington Woods Care & Rehab Center | 5.2 mi | Westlake, OH | ★★★★★ | 5/5 | |
| Brookdale Westlake Village | 5.8 mi | Westlake, OH | ★★★★★ | 4/5 | |
| Crocker Pointe Health and Rehabilitation | 5.9 mi | Westlake, OH | —/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 365865.