Nursing HomeMedicaid

Main Street Care Center

A middle-range Medicare rating. Review each component and visit in person before deciding.

500 Community Drive, Avon Lake, OH 44012|120 beds|Licensed & active

3/5

Medicare

Inspection

Quality

Staffing

Google rating

2.6/5

based on 7 Google reviews

(440) 930-6600 Directions Website

Street View

Email Main Street Care Center to yourself

Get a one-time email with a link to this profile so it is easy to find and share later.

This sends one email and does not add you to a mailing list.

2flags

Review before deciding

Public Medicare Flags to Review

These current public-data fields deserve follow-up with the facility and the official Medicare record. They are not a clinical risk score or a substitute for an in-person assessment.

Low health inspection rating (2/5 stars)
1 Medicare penalty on record

Source: Medicare data

What this means for your family

Main Street Care Center has a middle-range Medicare overall rating. Strengths include effective physical therapy services. Some reviewers note concerns about neglect and poor hygiene care for residents (mentioned by 2 reviewers). Review the health-inspection, staffing, and quality-measure components separately, then visit in person.

Google Reviews

7 public Google reviews available

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

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

Distribution · 7 analyzed

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 in the current analysis set

Staffing

Staffing Hours

per resident/day · Medicare public data

RN Hours

0.68hrs

91%

Registered nurses for medical care

Total Nursing

3.52hrs

86%

All nurses + aides combined

Staff Turnover

48%

Lower is better (< 30% = good)

RN Turnover

33%

Lower is better (< 30% = good)

Both RN and total nursing hours are below the EveryPlace reference benchmarks. Ask the facility how it staffs each shift for current resident needs.

Reference benchmarks (0.75 RN and 4.1 total nursing hours per resident/day) are comparison targets, not current federal minimum requirements.

Quality Measures

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

Medicare Rating

5/ 5

Better Than Avg

measures

Worse Than Avg

measures

Mixed Results

measures

Long-Stay Residents

Residents with depression symptoms

↓ Lower is better

This Facility2.0%

Better than Avg

Here

2.0%

12.8%

30.1%

Lorain

32.1%

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 Facility35.8%

Worse than Avg

Here

35.8%

19.5%

25.5%

Lorain

26.3%

Residents on antipsychotic medication

↓ Lower is better

This Facility2.6%

Better than Avg

Here

2.6%

15.4%

8.8%

Lorain

9.0%

Residents whose bladder or bowel control got worse

↓ Lower is better

This Facility31.5%

Worse than Avg

Here

31.5%

19.0%

21.4%

Lorain

22.4%

Residents needing more daily help over time

↓ Lower is better

This Facility2.8%

Better than Avg

Here

2.8%

13.9%

5.3%

Lorain

4.3%

Residents whose walking got worse

↓ Lower is better

This Facility3.8%

Better than Avg

Here

3.8%

14.1%

6.1%

Lorain

4.2%

Short-Stay Residents (Rehab / Post-Acute)

Short-stay residents vaccinated for pneumonia

↑ Higher is better

This Facility95.1%

Better than Avg

Here

95.1%

82.0%

78.5%

Lorain

82.6%

Short-stay residents vaccinated for the flu

↑ Higher is better

This Facility89.3%

Better than Avg

Here

89.3%

79.8%

75.6%

Lorain

74.9%

Short-stay residents newly given antipsychotics

↓ Lower is better

This Facility0.0%

Better than Avg

Here

0.0%

1.6%

1.2%

Lorain

1.0%

Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

Detailed Medicare record · up to 3-year lookback

50findings in history

1penalty

Latest survey: 8 · near OH avg (10.1)

15 complaint-triggered findings

$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.

Apr 24, 2026Complaint2 findings

0686Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

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.

Apr 24, 2026Routine10 findings

0804Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0372Potential for harm · WidespreadCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0761Potential for harm · PatternCorrected

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 drugs.

0803Potential for harm · PatternCorrected

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.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0363Potential for harm · PatternCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0912Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have power receptacles that are properly grounded.

0685Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Assist a resident in gaining access to vision and hearing services.

0849Potential for harm · IsolatedCorrected

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.

Jan 9, 2025Complaint4 findings

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, 2024Complaint4 findings

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, 2024Routine9 findings

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, 2024Complaint1 finding

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.

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)

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

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

(440) 930-6600

sprengerhealthcare.com

500 Community Drive

Avon Lake, OH 44012

Get Directions View on Google Maps

References & Resources

Medicare Care Compare

Official Medicare quality ratings, inspections & staffing data

Google Maps

Photos, directions & neighborhood info

Google Reviews

7 reviews from families & visitors

Official Website

Visit sprengerhealthcare.com

Medicare data downloads

Original nursing home datasets

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Some summaries, interpretations, suggested questions, and pricing research are AI-generated or AI-assisted and may contain errors or omit important context. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.