500 Community Drive, Avon Lake, OH 44012 (opens Google Maps) · Lorain County · (440) 930-6600· 120 certified beds · avg 111 residents/day · certified since May 1, 1992 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: SPRENGER HEALTH CARE SYSTEMS (12 facilities, chain avg rating 3.3★)
New to these records? How to read an inspection report →
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 3/5 · how star ratings work →
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 quality measures from resident assessments and claims.
▲ Actual harm, isolated · 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): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: May 13, 2026 (Deficient, Provider has date of correction)
▲ Actual harm, isolated · 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): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: May 13, 2026 (Deficient, Provider has date of correction)
▲ Actual harm, isolated · 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): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Sep 17, 2024 (Deficient, Provider has date of correction)
▲ Actual harm, isolated · 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): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Feb 29, 2024 (Deficient, Provider has date of correction)
Showing the latest 3 of 31 inspection findings. Open the full record below to read every finding.
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 F-0686
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 F-0689
The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. F-0804
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Apr 24, 2026 | ▲ G · Actual harm, isolated | 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 · F-0686 |
| Apr 24, 2026 | ▲ G · Actual harm, isolated | 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 · F-0689 |
| Apr 24, 2026 | F · Potential for more than minimal harm, widespread | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · F-0804 |
| Apr 24, 2026 | E · Potential for more than minimal harm, pattern | 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. · F-0761 |
| Apr 24, 2026 | E · Potential for more than minimal harm, pattern | 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. · F-0803 |
| Apr 24, 2026 | E · Potential for more than minimal harm, pattern | 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. · F-0812 |
| Apr 24, 2026 | D · Potential for more than minimal harm, isolated | The facility did not help a resident get vision and hearing services — such as eye exams, glasses, hearing tests, or hearing aids. · F-0685 |
| Apr 24, 2026 | D · Potential for more than minimal harm, isolated | 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. · F-0849 |
| Jan 9, 2025 | D · Potential for more than minimal harm, isolated | 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 · F-0609 |
| Jan 9, 2025 | D · Potential for more than minimal harm, isolated | 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 · F-0641 |
| Jan 9, 2025 | D · Potential for more than minimal harm, isolated | 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 · F-0689 |
| Jan 9, 2025 | D · Potential for more than minimal harm, isolated | 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 · F-0760 |
| Sep 3, 2024 | ▲ G · Actual harm, isolated | 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 · F-0686 |
| Sep 3, 2024 | E · Potential for more than minimal harm, pattern | 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 · F-0690 |
| Sep 3, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0689 |
| Sep 3, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0743 |
| Jun 6, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0558 |
| Feb 28, 2024 | ▲ G · Actual harm, isolated | 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 · F-0689 |
| Sep 22, 2023 | D · Potential for more than minimal harm, isolated | 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 · F-0686 |
| Aug 8, 2023 | E · Potential for more than minimal harm, pattern | 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 · F-0679 |
| Aug 8, 2023 | E · Potential for more than minimal harm, pattern | 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 · F-0880 |
| Aug 8, 2023 | D · Potential for more than minimal harm, isolated | 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 · F-0552 |
| Mar 31, 2022 | F · Potential for more than minimal harm, widespread | 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. · F-0812 |
| Mar 31, 2022 | F · Potential for more than minimal harm, widespread | 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. · F-0885 |
| Mar 31, 2022 | E · Potential for more than minimal harm, pattern | 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. · F-0758 |
| Mar 31, 2022 | D · Potential for more than minimal harm, isolated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · F-0584 |
| Mar 31, 2022 | D · Potential for more than minimal harm, isolated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684 |
| Mar 31, 2022 | D · Potential for more than minimal harm, isolated | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. · F-0698 |
| Mar 31, 2022 | D · Potential for more than minimal harm, isolated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · F-0842 |
| Mar 31, 2022 | C · Potential for minimal harm, widespread | 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. · F-0732 |
| Mar 31, 2022 | C · Potential for minimal harm, widespread | The facility did not dispose of garbage and refuse properly. · F-0814 |
Citations from standard inspections increased between the last two inspection cycles (1 → 8).
All bars start at zero. Exact values and supporting details remain below.
| 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.
How to file a complaint about care →
1 fine totaling $16,801.
Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.
| Date | Type | Amount / length |
|---|---|---|
| Feb 28, 2024 | Fine | $16,801 |
What these staffing numbers mean →
All bars start at zero. Exact values and supporting details remain below.
| 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 for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.52 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 3/5.
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 4/5
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Main Street Care Center. CMS inspection and staffing records do not tell us what this home will charge you.
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Understand who pays for care · How we handle price evidence · Report an incorrect price
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
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 |
Showing 20 of 44 parties CMS has on file for this facility; 24 are not displayed. The full list is in the CMS Ownership dataset.
CMS lists this facility under the chain Sprenger Health Care Systems — 12 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
Listed by state, then facility name — not a ranking. Showing 8 of the 11 others, continuing from this facility's own place in that list.
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
| 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 | 5.2 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 | ||
| Lutheran Home | 6.0 mi | Westlake, OH | ★★★★☆ | 4/5 | |
| Life Care Center of Westlake | 6.5 mi | Westlake, OH | ★★☆☆☆ | 2/5 |
Compare this facility with the 3 closest →
CMS records place this facility in Lorain, OH — 20 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.
Listed by facility name — not a ranking. Homes already in the table above are not repeated here.
Facility data as of CMS processing date 2026-08-01. CCN 365865.
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