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Nursing HomeMedicaid

Main Street Care Center

Strong Medicare quality ratings; families often praise effective physical therapy services. Still worth an in-person visit.

500 Community Drive, Avon Lake, OH 44012120 bedsLicensed & Active
4/5
Medicare
Inspection
Quality
Staffing
Google rating
2.6/5

based on 7 Google reviews

5
4
3
2
1
Main Street Care Center Nursing Home in Avon Lake, OH — Street View
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What this means for your family

While the facility provides strong physical therapy for rehab patients, the recurring reports of neglect and poor communication are significant red flags. Before choosing this facility, families should conduct unannounced visits to observe hygiene standards and demand a clear plan for how management addresses staff accountability and family communication.

Google Reviews

Google Reviews

7 reviews on Google
Main Street Care Center receives highly polarized feedback, with recent positive reviews highlighting effective rehabilitation services and friendly staff. However, multiple critical reviews raise serious concerns regarding neglect, poor communication from leadership, and unprofessional conduct by staff members.

Quality Themes

Tap a score for details
Food0.0Staff4.0Clean1.0ActivitiesN/AMeds2.0MemoryN/AComms1.0ValueN/A

Strengths

  • Effective physical therapy services
  • Friendly and caring staff members
  • Well-equipped rehabilitation facilities

Concerns

  • Neglect and poor hygiene care for residents (mentioned by 2 reviewers)
  • Poor communication and lack of responsiveness from management (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2342.52022(2)1.02023(2)3.72025(3)

Distribution · 7 analyzed

5
2
4
1
3
0
2
0
1
4

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1Given that physical therapy is a noted strength here, how do you integrate those rehabilitation services into the daily routine for residents who aren't in active therapy?
  • 2I’ve read some concerns regarding resident hygiene and cleanliness; could you walk me through your daily protocols for room maintenance and personal care assistance?
  • 3With a 3-star staffing rating, how do you ensure that residents receive timely responses to their needs, especially during evening and weekend shifts?
  • 4Communication is very important to our family; what is your standard process for keeping family members updated on changes in a resident's health or care plan?
  • 5Could you describe the dining experience and how the facility ensures that residents receive proper nutritional support and assistance during meal times?
  • 6What is your protocol for medication management, and how do you ensure accuracy and consistency for residents with complex health needs?

Personalized based on this facility's data


Key Review Excerpts

The physical therapists are awesome. I'm so glad i'm going through my journey here too wellness.

Rehab patient · 2025★★★★★

Director of nursing never answers the phone and never returns a call. Equipment in rooms always broken, not by the resident either. Nursing can't seem to follow doctors orders.

Long-term resident's family · 2022☆☆☆☆

This facility has rude staff. They leave residents soaking in bed in their urine / feces for hours on end.

Long-term resident's family · 2023☆☆☆☆
Source: 7 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.65hrs
87%
Registered nurses for medical care
Total Nursing
3.56hrs
87%
All nurses + aides combined
Staff Turnover
53%
Lower is better (< 30% = good)
RN Turnover
31%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
5/ 5
Better Than Avg

13

measures

Worse Than Avg

3

measures

Mixed Results

1

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility2.9%
Better than Avg
Here
2.9%
US
12.1%
OH
28.2%
Lorain
27.3%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility34.7%
Worse than Avg
Here
34.7%
US
19.5%
OH
25.4%
Lorain
26.5%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility1.8%
Better than Avg
Here
1.8%
US
15.4%
OH
9.4%
Lorain
9.7%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility32.5%
Worse than Avg
Here
32.5%
US
19.4%
OH
21.6%
Lorain
24.4%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility2.7%
Better than Avg
Here
2.7%
US
15.3%
OH
6.9%
Lorain
4.6%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility3.2%
Better than Avg
Here
3.2%
US
14.4%
OH
5.8%
Lorain
4.5%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility94.5%
Better than Avg
Here
94.5%
US
81.8%
OH
78.4%
Lorain
82.5%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility89.3%
Better than Avg
Here
89.3%
US
79.7%
OH
75.6%
Lorain
74.9%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
OH
1.2%
Lorain
0.9%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

1deficiencies
1penalties
Well below state avg (10.1)
14 complaint-triggered
$16,801 in fines

Multiple families have filed complaints triggering 15 deficiencies, with recurring concerns about accident prevention and safety supervision appearing across several surveys from 2023 to 2025. The facility also has ongoing issues with medication management, wound care, and fire safety systems. While all deficiencies show correction dates, the pattern of repeated safety violations and recent complaint activity suggests ongoing care quality concerns that warrant careful evaluation during your visit.

Jan 9, 2025Complaint
4
0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0760Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

Sep 3, 2024Complaint
4
0686Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0690Potential for harm · PatternCorrected

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.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0743Potential for harm · IsolatedCorrected

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.

Jun 6, 2024Routine
9
0131Potential for harm · WidespreadCorrected

Construction Deficiencies

Meet requirements for sections of health care facilities separated by fire resistive construction.

0222Potential for harm · WidespreadCorrected

Egress Deficiencies

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

0291Potential for harm · WidespreadCorrected

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0363Potential for harm · PatternCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0511Potential for harm · PatternCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0923Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

0558Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

Feb 28, 2024Complaint
1
0689Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Sep 22, 2023Complaint
1
0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Aug 8, 2023Complaint
3
0679Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide activities to meet all resident's needs.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0552Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Ensure that residents are fully informed and understand their health status, care and treatments.

Federal Penalties

Fine

Feb 28, 2024

$16,801

Ownership & Operations

Who Operates This Facility

Owner / Operator

Main Street Care Center

Organization Type

for profit

Chain Affiliation

Chain Name

Sprenger Health Care Systems

Chain Size

12 facilities nationwide

Chain avg rating: 4.0/5 · Rank 6 of 12

Ownership & Management

Owners

Bluesky Healthcare INC

Owner · Organization

50%

Tca Investments, Ltd.

Owner · Organization

50%

Hutsenpiller, Wendie

Owner (parent company)

9%

Kopf, Joanne

Owner (parent company)

38%

Malanowski, Kenneth

Owner (parent company)

10%

Sprenger, Nicole

Owner (parent company)

15%

Sprenger, Tracey

Owner (parent company)

15%

Edelstein, Barry

Owner (parent company)

Key personnel

Malanowski, KennethOfficer / DirectorSprenger, NicoleOfficer / DirectorSprenger, TraceyOfficer / DirectorFox, EmilyOfficer / DirectorKuhn, ShannonOfficer / Director
Source: Medicare provider data

Contact

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References & Resources

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