CMS data snapshot: July 2026
Facility results compared with averages for CMS-certified nursing homes in Ohio. Ratings, staffing and turnover measure different parts of care and should be reviewed together.
Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.
A side-by-side view of the two CMS inspection cycles included in the current dataset.
Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.
Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).
Swipe tabs for staffing, quality and ownership.
Main Street Care Center is a 3-star Medicare and Medicaid certified nursing home in Avon Lake, Ohio with 120 certified beds. It has been operating since 1992. Its overall CMS rating is 3 out of 5.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
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.
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.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Ensure that a resident does not develop patterns of decreased social interaction and/or increased withdrawn, angry, or depressive behaviors, unless unavoidable.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Ensure that residents are fully informed and understand their health status, care and treatments.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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.
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.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
+ 1 more deficiencies
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| BLUESKY HEALTHCARE INC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 50% | Jan 1, 2008 |
| TCA INVESTMENTS, LTD. | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 50% | Jan 1, 2008 |
| HUTSENPILLER, WENDIE | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | 9% | Nov 4, 2012 |
| KOPF, JOANNE | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | 38% | Dec 8, 2023 |
| MALANOWSKI, KENNETH | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | 10% | Nov 4, 2012 |
| SPRENGER, NICOLE | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | 15% | Jan 1, 2008 |
| SPRENGER, TRACEY | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | 15% | Jan 1, 2008 |
| EDELSTEIN, BARRY | INDIRECT OWNERSHIP INTEREST | Individual | N/A | Jan 1, 2008 |
| MALANOWSKI, KENNETH | CORPORATE DIRECTOR | Individual | N/A | Jan 1, 2013 |
| SPRENGER, NICOLE | CORPORATE DIRECTOR | Individual | N/A | Oct 1, 2013 |
| SPRENGER, TRACEY | CORPORATE DIRECTOR | Individual | N/A | Jan 1, 2013 |
| FOX, EMILY | CORPORATE OFFICER | Individual | N/A | Dec 31, 2024 |
| KUHN, SHANNON | CORPORATE OFFICER | Individual | N/A | Dec 31, 2024 |
| MALANOWKI, BRANDON | CORPORATE OFFICER | Individual | N/A | Dec 31, 2024 |
| CMS & CO. MANAGEMENT SERVICES, INC. | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Jan 1, 2008 |
| BODZIONY, ANDREA | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Nov 18, 2024 |
| COURTOCK, MELISSA | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Dec 2, 2002 |
| EPPERLY, ROBERT | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jan 20, 2022 |
| FOX, EMILY | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Dec 31, 2024 |
| GOLLINGER, KRISTEN | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Nov 13, 2000 |
| KUHN, SHANNON | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Dec 31, 2024 |
| MALANOWKI, BRANDON | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Dec 31, 2024 |
| MARINO-FREETAGE, JAIME | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Mar 1, 2011 |
| MICALE, JACOB | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Feb 20, 2023 |
| TUCKER, MATTIE | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jun 24, 2024 |
| ZRAIK, BASSEM | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jan 1, 2023 |
| BLUESKY HEALTHCARE INC | ADP OF THE SNF | Organization | N/A | Jan 3, 2025 |
| CMS & CO. MANAGEMENT SERVICES, INC. | ADP OF THE SNF | Organization | N/A | Feb 13, 2025 |
| TCA INVESTMENTS, LTD. | ADP OF THE SNF | Organization | N/A | Jan 21, 2025 |
| BODZIONY, ANDREA | ADP OF THE SNF | Individual | N/A | Nov 18, 2024 |
| COURTOCK, MELISSA | ADP OF THE SNF | Individual | N/A | Dec 2, 2002 |
| EPPERLY, ROBERT | ADP OF THE SNF | Individual | N/A | Jan 20, 2022 |
| FOX, EMILY | ADP OF THE SNF | Individual | N/A | Dec 31, 2024 |
| GOLLINGER, KRISTEN | ADP OF THE SNF | Individual | N/A | Nov 13, 2000 |
| HUTSENPILLER, WENDIE | ADP OF THE SNF | Individual | N/A | Nov 4, 2012 |
| KOPF, JOANNE | ADP OF THE SNF | Individual | N/A | Dec 8, 2023 |
| MALANOWKI, BRANDON | ADP OF THE SNF | Individual | N/A | Dec 31, 2024 |
| MALANOWSKI, KENNETH | ADP OF THE SNF | Individual | N/A | Jan 1, 2013 |
| MARINO-FREETAGE, JAIME | ADP OF THE SNF | Individual | N/A | Mar 1, 2011 |
| MICALE, JACOB | ADP OF THE SNF | Individual | N/A | Feb 20, 2023 |
| SPRENGER, NICOLE | ADP OF THE SNF | Individual | N/A | Jan 1, 2008 |
| SPRENGER, TRACEY | ADP OF THE SNF | Individual | N/A | Jan 1, 2008 |
| TUCKER, MATTIE | ADP OF THE SNF | Individual | N/A | Jun 24, 2024 |
| ZRAIK, BASSEM | ADP OF THE SNF | Individual | N/A | Jan 1, 2023 |
Compare CMS ratings and recorded fines for Main Street Care Center and nearby alternatives.
Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.
This chain operates 12 facilities. View all →