Main Street Care Center
Avon Lake, Lorain County, Ohio · CCN 365865 · For-profit (Corporation) · part of Sprenger Health Care Systems (12 facilities, chain average 3.3 stars)
CMS rates Main Street Care Center 3 of 5 overall as of August 2026. 120 certified beds, 111 residents a day on average. 31 citations on record from the current inspection cycles, 4 involving actual harm; 1 fine totalling $16,801.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★★☆☆ 3 of 5 |
|---|---|
| Health inspections | ★★☆☆☆ 2 of 5 |
| Staffing | ★★★☆☆ 3 of 5 |
| Quality measures | ★★★★★ 5 of 5 |
| Quality: long-stay / short-stay | 5 / 4 of 5 |
Staffing
| Total nurse staffing | 3.51875 hours per resident per day |
|---|---|
| Registered nurses | 0.67986 hours per resident per day |
| Weekend total | 3.25826 hours per resident per day |
| Nursing staff turnover | 47.7% (registered nurses 33.3%) |
| Administrators who left | 0 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2026-04-24 complaint survey |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · tag F0686 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2026-05-13 |
| 2026-04-24 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2026-05-13 |
| 2026-04-24 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · tag F0804 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2026-05-13 |
| 2026-04-24 | 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 drugs. Pharmacy Service Deficiencies · tag F0761 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2026-05-13 |
| 2026-04-24 | 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. Nutrition and Dietary Deficiencies · tag F0803 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2026-05-13 |
| 2026-04-24 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2026-05-13 |
| 2026-04-24 | Assist a resident in gaining access to vision and hearing services. Quality of Life and Care Deficiencies · tag F0685 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-05-13 |
| 2026-04-24 | 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. Administration Deficiencies · tag F0849 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-05-13 |
| 2025-01-09 complaint survey |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-01-28 |
| 2025-01-09 complaint survey |
Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · tag F0641 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-01-28 |
| 2025-01-09 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-01-28 |
| 2025-01-09 complaint survey |
Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · tag F0760 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-01-28 |
| 2024-09-03 complaint survey |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · tag F0686 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2024-09-17 |
| 2024-09-03 complaint survey |
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · tag F0690 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-09-17 |
| 2024-09-03 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-09-17 |
| 2024-09-03 complaint survey |
Ensure that a resident does not develop patterns of decreased social interaction and/or increased withdrawn, angry, or depressive behaviors, unless unavoidable. Quality of Life and Care Deficiencies · tag F0743 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-09-17 |
| 2024-06-06 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · tag F0558 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-06-27 |
| 2024-02-28 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2024-02-29 |
| 2023-09-22 complaint survey |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · tag F0686 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-10-06 |
| 2023-08-08 complaint survey |
Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · tag F0679 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-08-23 |
| 2023-08-08 complaint survey |
Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-08-23 |
| 2023-08-08 complaint survey |
Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · tag F0552 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-08-23 |
| 2022-03-31 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2022-04-11 |
| 2022-03-31 | Report COVID19 data to residents and families. Infection Control Deficiencies · tag F0885 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2022-04-11 |
| 2022-03-31 | 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. Pharmacy Service Deficiencies · tag F0758 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2022-04-11 |
| 2022-03-31 | 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. Resident Rights Deficiencies · tag F0584 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2022-04-11 |
| 2022-03-31 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2022-04-11 |
| 2022-03-31 | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · tag F0698 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2022-04-11 |
| 2022-03-31 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · tag F0842 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2022-04-11 |
| 2022-03-31 | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · tag F0732 |
C No actual harm, with potential for minimal harm; widespread | Deficient, Provider has plan of correction 2022-04-11 |
| 2022-03-31 | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · tag F0814 |
C No actual harm, with potential for minimal harm; widespread | Deficient, Provider has plan of correction 2022-04-11 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2024-02-28 | Fine | $16,801 |
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Bluesky Healthcare Inc. Organization | 5% or greater direct ownership interest | 50% | 2008-01-01 |
| Tca Investments, Ltd. Organization | 5% or greater direct ownership interest | 50% | 2008-01-01 |
| Bluesky Healthcare Inc. Organization | adp of the snf | — | 2025-01-03 |
| Cms & Co. Management Services, Inc. Organization | adp of the snf | — | 2025-02-13 |
| Tca Investments, Ltd. Organization | adp of the snf | — | 2025-01-21 |
| Cms & Co. Management Services, Inc. Organization | operational/managerial control | — | 2008-01-01 |
| Hutsenpiller, Wendie Individual | 5% or greater indirect ownership interest | 9% | 2012-11-04 |
| Kopf, Joanne Individual | 5% or greater indirect ownership interest | 38% | 2023-12-08 |
| Malanowski, Kenneth Individual | 5% or greater indirect ownership interest | 10% | 2012-11-04 |
| Sprenger, Nicole Individual | 5% or greater indirect ownership interest | 15% | 2008-01-01 |
| Sprenger, Tracey Individual | 5% or greater indirect ownership interest | 15% | 2008-01-01 |
| Bodziony, Andrea Individual | adp of the snf | — | 2024-11-18 |
| Courtock, Melissa Individual | adp of the snf | — | 2002-12-02 |
| Epperly, Robert Individual | adp of the snf | — | 2022-01-20 |
| Fox, Emily Individual | adp of the snf | — | 2024-12-31 |
| Gollinger, Kristen Individual | adp of the snf | — | 2000-11-13 |
| Hutsenpiller, Wendie Individual | adp of the snf | — | 2012-11-04 |
| Kopf, Joanne Individual | adp of the snf | — | 2023-12-08 |
| Malanowki, Brandon Individual | adp of the snf | — | 2024-12-31 |
| Malanowski, Kenneth Individual | adp of the snf | — | 2013-01-01 |
| Marino-Freetage, Jaime Individual | adp of the snf | — | 2011-03-01 |
| Micale, Jacob Individual | adp of the snf | — | 2023-02-20 |
| Sprenger, Nicole Individual | adp of the snf | — | 2008-01-01 |
| Sprenger, Tracey Individual | adp of the snf | — | 2008-01-01 |
| Tucker, Mattie Individual | adp of the snf | — | 2024-06-24 |
| Zraik, Bassem Individual | adp of the snf | — | 2023-01-01 |
| Malanowski, Kenneth Individual | corporate director | — | 2013-01-01 |
| Sprenger, Nicole Individual | corporate director | — | 2013-10-01 |
| Sprenger, Tracey Individual | corporate director | — | 2013-01-01 |
| Fox, Emily Individual | corporate officer | — | 2024-12-31 |
| Kuhn, Shannon Individual | corporate officer | — | 2024-12-31 |
| Malanowki, Brandon Individual | corporate officer | — | 2024-12-31 |
| Edelstein, Barry Individual | indirect ownership interest | — | 2008-01-01 |
| Bodziony, Andrea Individual | operational/managerial control | — | 2024-11-18 |
| Courtock, Melissa Individual | operational/managerial control | — | 2002-12-02 |
| Epperly, Robert Individual | operational/managerial control | — | 2022-01-20 |
| Fox, Emily Individual | operational/managerial control | — | 2024-12-31 |
| Gollinger, Kristen Individual | operational/managerial control | — | 2000-11-13 |
| Kuhn, Shannon Individual | operational/managerial control | — | 2024-12-31 |
| Malanowki, Brandon Individual | operational/managerial control | — | 2024-12-31 |
| Marino-Freetage, Jaime Individual | operational/managerial control | — | 2011-03-01 |
| Micale, Jacob Individual | operational/managerial control | — | 2023-02-20 |
| Tucker, Mattie Individual | operational/managerial control | — | 2024-06-24 |
| Zraik, Bassem Individual | operational/managerial control | — | 2023-01-01 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Main Street Care Center.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Lorain County.