64.3/100
Average
500 Community Drive, Avon Lake, OH 44012
These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.
4 citation(s) involving actual harm or immediate jeopardy
Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.
$16,801 in federal fines
CMS has fined this facility across 1 penalty action(s).
Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.
Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
Hours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Last standard health inspection: April 24, 2026 (3 months ago).
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Actual harm to a resident
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Actual harm to a resident
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
No actual harm, potential for more than minimal harm
Pharmacy Service Deficiencies
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...
No actual harm, potential for more than minimal harm
Nutrition and Dietary Deficiencies
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.
No actual harm, potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
No actual harm, potential for more than minimal harm
Quality of Life and Care Deficiencies
Assist a resident in gaining access to vision and hearing services.
No actual harm, potential for more than minimal harm
Administration Deficiencies
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.
No actual harm, potential for more than minimal harm
Part of SPRENGER HEALTH CARE SYSTEMS, which operates 12 homes. Staffing budgets are usually set at chain level, not in the building.
| Owner | Type | Role | Since |
|---|---|---|---|
| EDELSTEIN, BARRY | Individual | INDIRECT OWNERSHIP INTEREST | — |
| MALANOWSKI, KENNETH | Individual | CORPORATE DIRECTOR | — |
| SPRENGER, NICOLE | Individual | CORPORATE DIRECTOR | — |
| SPRENGER, TRACEY | Individual | CORPORATE DIRECTOR | — |
| FOX, EMILY | Individual | CORPORATE OFFICER | — |
| KUHN, SHANNON | Individual | CORPORATE OFFICER | — |
| MALANOWKI, BRANDON | Individual | CORPORATE OFFICER | — |
| CMS & CO. MANAGEMENT SERVICES, INC. | Organization | OPERATIONAL/MANAGERIAL CONTROL | — |
| BODZIONY, ANDREA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| COURTOCK, MELISSA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| EPPERLY, ROBERT | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| FOX, EMILY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
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Main Street Care Center holds an ElderGrade of C (64.3 out of 100), which we describe as "average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.
Residents receive an average of 3.52 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
Yes. 4 of the 31 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.
Yes, Main Street Care Center is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.