All states › Ohio › Avon Lake › Main Street Care Center
500 Community Drive Avon Lake, OH 44012 · Lorain County
CMS certification number 365865 · See this home on Medicare Care Compare
Is Main Street Care Center a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Main Street Care Center as of October 2026.
CMS rates it 3 out of 5 stars overall, about the same as the Ohio average of 3.2.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.51 hours per resident per day at Main Street Care Center, about the same as the Ohio median of 3.58 (US median: 3.72). About 0.69 of those hours are from registered nurses. On weekends it falls to 3.19 hours, 9% below its all-week average. 50.9% of nursing staff left within a year (Ohio median 48.9%).
About this nursing home
Paying for care at Main Street Care Center: Medicare and Medicaid
Main Street Care Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Ohio's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on April 24, 2026 and found 6 deficiencies, plus 2 from complaint inspections in the same period. In total, inspectors issued 27 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 27 citations at Main Street Care Center across 6 inspection dates, 11 of them from complaint investigations. 4 were at the actual-harm level (G–I), most recently on April 24, 2026. The most common areas cited were quality of life and care (11) and nutrition and dietary (5). The most serious was cited under the CMS rule to "provide appropriate pressure ulcer care and prevent new ulcers from developing" (tag F0686, level G, April 24, 2026). 1 citation was under CMS's abuse, neglect and exploitation rules.
April 24, 2026 · 8 citations · includes complaint inspection
GProvide appropriate pressure ulcer care and prevent new ulcers from developing.
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
FEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
EEnsure 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.
EEnsure 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.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DAssist a resident in gaining access to vision and hearing services.
DArrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
January 9, 2025 · 4 citations · includes complaint inspection
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DEnsure each resident receives an accurate assessment.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DEnsure that residents are free from significant medication errors.
September 3, 2024 · 4 citations, includes actual harm · includes complaint inspection
GProvide appropriate pressure ulcer care and prevent new ulcers from developing.
EProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DEnsure that a resident does not develop patterns of decreased social interaction and/or increased withdrawn, angry, or depressive behaviors, unless unavoidable.
June 6, 2024 · 1 citation
DReasonably accommodate the needs and preferences of each resident.
February 28, 2024 · 1 citation, includes actual harm · includes complaint inspection
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
March 31, 2022 · 9 citations
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
FReport COVID19 data to residents and families.
EImplement 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.
DHonor 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.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide safe, appropriate dialysis care/services for a resident who requires such services.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
CPost nurse staffing information every day.
CDispose of garbage and refuse properly.
Questions to ask on a tour of Main Street Care Center
- Inspectors cited the home at the actual-harm level on April 24, 2026 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on January 9, 2025. How are staff trained, and how are concerns reported?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
2 penalties in the last three years, including $49,501 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Apr 24, 2026 | Fine | $32,700 |
| Feb 28, 2024 | Fine | $16,801 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 3/5 | 2/5 | 3/5 | 5/5 |
| August 2026 | 3/5 | 2/5 | 3/5 | 5/5 |
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Location
Hospitals near Main Street Care Center
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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2.9 mi
Cleveland Clinic Avon Hospital AvonEmergency room ★★★★★ Medicare overall 5 of 5Median ER visit 4h 7m for patients treated and sent home
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5.9 mi
St John Medical Center WestlakeEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 3h 51m for patients treated and sent home
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9.6 mi
University Hospitals - Elyria Medical Center ElyriaEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 3h 7m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Main Street Care Center › All nursing homes in Avon Lake ›
Compare Main Street Care Center with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- St Mary of the Woods · Avon · 5 stars · 2.7 mi
- The Woods on French Creek Nursing & Rehab Center · Avon · 5 stars · 2.7 mi
- Avon Oaks Nursing Home · Avon · 5 stars · 3.3 mi
- Huntington Woods Care & Rehab Center · Westlake · 5 stars · 5.2 mi
Other Sprenger Health Care Systems nursing homes in Ohio
- Village of the Falls · Olmsted Falls · 5 stars
- Elms Retirement Village · Wellington · 5 stars
- Heather Knoll Retirement Village · Tallmadge · 5 stars
- Autumn Aegis Nursing Home · Lorain · 4 stars
- Rose Lane Nursing and Rehabilitation · Massillon · 4 stars
- Manor of Grande Village · Twinsburg · 3 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 12 Sprenger Health Care Systems nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.