Main Street Care Center
500 Community Drive · Avon Lake, OH · 44012 · 4409306600
120 certified beds For profit - Corporation Chain: Sprenger Health Care Systems Part of a CCRC
Why this verdict
- 4 citations involved actual harm to residents.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
2 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.56 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.65 | 0.55–0.75 |
| Weekend hours / resident-day | 3.27 | ≈ weekday level |
| Nursing turnover / year | 53% | median 45% |
| Fines (3-yr window) | 1 · $16,801 |
Inspection citations (32 in the current record)
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Actual harm · G April 24, 2026 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected May 13, 2026 · Quality of Life and Care
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Actual harm · G April 24, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 13, 2026 · Quality of Life and Care
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Potential for harm · D January 9, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected January 28, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 9, 2025 · found via complaint
Ensure each resident receives an accurate assessment.
Corrected January 28, 2025 · Resident Assessment and Care Planning
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Potential for harm · D January 9, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 28, 2025 · Quality of Life and Care
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Potential for harm · D January 9, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected January 28, 2025 · Pharmacy Service
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Actual harm · G September 3, 2024 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected September 17, 2024 · Quality of Life and Care
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Potential for harm · D September 3, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 17, 2024 · Quality of Life and Care
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Potential for harm · E September 3, 2024 · found via complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected September 17, 2024 · Quality of Life and Care
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Potential for harm · D September 3, 2024 · found via complaint
Ensure that a resident does not develop patterns of decreased social interaction and/or increased withdrawn, angry, or depressive behaviors, unless unavoidable.
Corrected September 17, 2024 · Quality of Life and Care
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Potential for harm · D June 6, 2024
Reasonably accommodate the needs and preferences of each resident.
Corrected June 27, 2024 · Resident Rights
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Actual harm · G February 28, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 29, 2024 · Quality of Life and Care
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Potential for harm · D September 22, 2023 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected October 6, 2023 · Quality of Life and Care
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Potential for harm · D August 8, 2023 · found via complaint
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected August 23, 2023 · Resident Rights
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Potential for harm · E August 8, 2023 · found via complaint
Provide activities to meet all resident's needs.
Corrected August 23, 2023 · Quality of Life and Care
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Potential for harm · E August 8, 2023 · found via complaint
Provide and implement an infection prevention and control program.
Corrected August 23, 2023 · Infection Control
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Potential for harm · E June 15, 2023 · found via complaint
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected July 6, 2023 · Quality of Life and Care
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Potential for harm · D March 31, 2022
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected April 11, 2022 · Resident Rights
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Potential for harm · D March 31, 2022
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 11, 2022 · Quality of Life and Care
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Potential for harm · D March 31, 2022
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected April 11, 2022 · Quality of Life and Care
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Potential for harm · E March 31, 2022
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected April 11, 2022 · Pharmacy Service
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Potential for harm · F March 31, 2022
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 11, 2022 · Nutrition and Dietary
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Potential for harm · D March 31, 2022
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected April 11, 2022 · Resident Assessment and Care Planning
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Potential for harm · F March 31, 2022
Report COVID19 data to residents and families.
Corrected April 11, 2022 · Infection Control
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No harm found · C March 31, 2022
Post nurse staffing information every day.
Corrected April 11, 2022 · Nursing and Physician Services
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| February 28, 2024 | Fine | $16,801 |
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 365865 · certified since May 1, 1992. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.