Main Street Care Center
500 Community Drive, Avon Lake, OH, 44012
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Order the reportFederal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed June 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Corporation · Chain: Sprenger Health Care Systems
- Certified beds
- 120 · avg 108 residents/day
- Total nursing staff turnover
- 52.6% — near the Ohio averageOhio avg: 49.2% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 31.3% — lower than most Ohio nursing homesOhio avg: 44.2% · National avg: 43.3% · per CMS Care Compare
- Administrators who left
- 1 departed — near the Ohio averageOhio avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $16,801 total
Medicare certification
- CMS Certification Number
- 365865
- Certified beds
- 120 beds · avg 108 residents/day
- Ownership type
- For profit - Corporation
- Continuing-care community
- Yes
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Main Street Care Center, Ltd.
- Chain affiliation
- Sprenger Health Care Systems
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Chain affiliation
Part of the Sprenger Health Care Systems chain — 12 facilities across 2 states. Chain-wide average overall rating 3.9 / 5.
Disclosed owners (44 on record)
- (unnamed Owner)
Adp of The Snf · since 2025
- Cms & Co. Management Services, Inc.
Adp of The Snf · since 2025
- Tca Investments, Ltd.
Adp of The Snf · since 2025
- (unnamed Owner)
Adp of The Snf · since 2025
- (unnamed Owner)
Adp of The Snf · since 2025
- (unnamed Owner)
Adp of The Snf · since 2025
+ 38 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of May 2026.
Federal inspection record
Recent health-deficiency citations (most recent 8 of 32)
- G0689·Apr 24, 2026Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- G0686·Apr 24, 2026Complaint
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D0760·Jan 9, 2025Complaint
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
- D0689·Jan 9, 2025Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D0641·Jan 9, 2025Complaint
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
- D0609·Jan 9, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D0743·Sep 3, 2024Complaint
Quality of Life and Care Deficiencies
Ensure that a resident does not develop patterns of decreased social interaction and/or increased withdrawn, angry, or depressive behaviors, unless unavoidable.
- E0690·Sep 3, 2024Complaint
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Federal penalties
By year
- 20241 fine · $17K
Most recent events
- Feb 28, 2024Fine · $17K
Fire-safety citations
27 Life-Safety-Code citations on file. Most recent: Jun 6, 2024. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about Main Street Care Centerinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.