Main Street Terrace Care Center

Name: Main Street Terrace Care Center
Address: 1318 E MAIN STREET, Lancaster, OH, 43130, US
Telephone: 7406538767

1318 E Main Street, Lancaster, OH 43130 · Fairfield County · 50 certified beds · avg 46 residents/day · certified since Jul 12, 1995

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.90

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5

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 · Oct 28, 2024 · F-0686

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: Dec 6, 2024 (Deficient, Provider has date of correction)

All citations in the current public record (30)

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
Dec 31, 2025	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.
Dec 31, 2025	D · Potential for harm, one-off	The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered.
Dec 31, 2025	D · Potential for harm, one-off	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do.
Dec 31, 2025	D · Potential for harm, one-off	The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need.
Dec 31, 2025	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Dec 31, 2025	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Dec 31, 2025	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Dec 31, 2025	D · Potential for harm, one-off	The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason.
Dec 31, 2025	D · Potential for harm, one-off	The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature.
Dec 31, 2025	D · Potential for harm, one-off	The facility did not provide special eating equipment and utensils — like adaptive cups or easy-grip silverware — for residents who need them, along with appropriate help at meals.
Oct 28, 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.
Oct 28, 2024	E · Potential for harm, repeated	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Oct 28, 2024	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.
Oct 28, 2024	D · Potential for harm, one-off	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away.
Oct 28, 2024	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Oct 28, 2024	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.
Oct 28, 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.
Oct 28, 2024	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.
Oct 31, 2022	F · Potential for harm, facility-wide	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.
Oct 31, 2022	F · Potential for harm, facility-wide	The facility did not designate a qualified infection preventionist — a trained person responsible for running the infection prevention and control program.
Oct 31, 2022	D · Potential for harm, one-off	The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
Oct 31, 2022	D · Potential for harm, one-off	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away.
Oct 31, 2022	D · Potential for harm, one-off	The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered.
Oct 31, 2022	D · Potential for harm, one-off	The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal.
Oct 31, 2022	D · Potential for harm, one-off	The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that.
Oct 31, 2022	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Oct 31, 2022	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Oct 31, 2022	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.
Oct 31, 2022	D · Potential for harm, one-off	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Oct 31, 2022	D · Potential for harm, one-off	The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (8 → 10).

Year	Citations	Serious (G–L)	Worst severity that year
2022	12	0	F
2024	8	1	G ▲
2025	10	0	F

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)

0 fines totaling $0, plus 1 Medicare payment denial period.

Date	Type	Amount / length
Oct 28, 2024	Payment Denial	16 days from Nov 20, 2024

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)	3.90	3.45	3.95	top 18% in Ohio; top 44% in the U.S.
Registered Nurse hours	0.57	0.60	0.69	top 44% in Ohio; bottom 48% in the U.S.
Weekend total nurse staffing	3.58	3.07	3.50	top 14% in Ohio; top 39% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.42	0.42	0.48	top 42% in Ohio; top 45% in the U.S.
Total nursing staff turnover (%)	33.3	48.7	45.8	top 13% in Ohio; top 20% in the U.S.
RN turnover (%)	0.0	43.9	42.9	top 1% in Ohio; top 1% 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 3.71, RN 0.54, weekend 3.41. Staffing rating: 4/5.

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
Carecore at Main Street	Organization	5% or Greater Direct Ownership Interest	100%	05/31/2023
Hertanu, Chaim	Individual	5% or Greater Indirect Ownership Interest	100%	05/31/2023
Carecore at Main Street	Organization	ADP of the SNF	NOT APPLICABLE	03/31/2025
Carecore Health LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	11/01/2024
Carecore Health LLC	Organization	ADP of the SNF	NOT APPLICABLE	03/31/2025
Hertanu, Chaim	Individual	ADP of the SNF	NOT APPLICABLE	05/31/2023
Lloyd, John	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2024
Lloyd, John	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2024
Main Street Nursing Propco, LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	11/01/2024
Main Street Nursing Propco, LLC	Organization	ADP of the SNF	NOT APPLICABLE	11/01/2024
Wentz, Tracy	Individual	Operational/Managerial Control	NOT APPLICABLE	08/28/1995
Wentz, Tracy	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2023

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 did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
"If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
"How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
"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
Buckeye Care and Rehabilitation	0.9 mi	Lancaster, OH	★☆☆☆☆	2/5
The Springs at Wyandot Trail	1.7 mi	Lancaster, OH	★★★★★	4/5
Lanfair Center for Rehab & Nsg Care INC	1.9 mi	Lancaster, OH	★★★★☆	3/5
Luxe Rehabilitation and Care Center	4.2 mi	Lancaster, OH	★★☆☆☆	1/5	SFF
Arbors at Carroll	5.8 mi	Carroll, OH	★★★★☆	4/5
Country Lane Gardens Rehab & Nursing Ctr	9.4 mi	Pleasantville, OH	★★☆☆☆	1/5	abuseSFF
Pickerington Care and Rehabilitation	14.6 mi	Pickerington, OH	★★★☆☆	2/5
Embassy of Logan	15.6 mi	Logan, OH	★★★☆☆	3/5
Embassy of Winchester	15.7 mi	Canal Winchester, OH	★★☆☆☆	1/5
Altercare Thornville INC.	15.7 mi	Thornville, OH	★★★☆☆	2/5
Altercare of Canal Winchester Post-Acute RC	15.8 mi	Canal Winchester, OH	★★☆☆☆	1/5
Altercare Somerset INC.	16.2 mi	Somerset, OH	★★★☆☆	3/5

Compare this facility with the 3 closest →

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Facility data as of CMS processing date 2026-08-01. CCN 366016.

The Care File

Visit checklist — Main Street Terrace Care Center

1318 E Main Street, Lancaster, OH 43130 · 7406538767

Health inspection rating 3/5 · CMS overall 4/5· Fines (3y): $0

Most serious findings on record:

▲ Oct 28, 2024 (F-0686, 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.

Questions for the administrator:

☐ "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
☐ "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
☐ "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 366016 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)