All states › Ohio › Lancaster › Main Street Terrace Care Center
1318 E Main Street Lancaster, OH 43130 · Fairfield County
All 5 nursing homes in Lancaster, OH (5 take Medicaid)
CMS certification number 366016 · See this home on Medicare Care Compare
Is Main Street Terrace 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 Terrace Care Center as of October 2026.
CMS rates it 4 out of 5 stars overall, above 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 3.59 hours per resident per day at Main Street Terrace Care Center, about the same as the Ohio median of 3.58 (US median: 3.72). About 0.52 of those hours are from registered nurses. On weekends it falls to 3.25 hours, 9% below its all-week average. 40.4% of nursing staff left within a year (Ohio median 48.9%).
About this nursing home
Paying for care at Main Street Terrace Care Center: Medicare and Medicaid
Main Street Terrace 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 December 31, 2025 and found 10 deficiencies, plus 2 from complaint inspections in the same period. In total, inspectors issued 32 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 32 citations at Main Street Terrace Care Center across 4 inspection dates, 2 of them from complaint investigations. 1 was at the actual-harm level (G–I), most recently on October 28, 2024. The most common areas cited were quality of life and care (7) and resident assessment and care planning (7). 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, October 28, 2024). 1 citation was under CMS's abuse, neglect and exploitation rules.
July 9, 2026 · 2 citations · includes complaint inspection
DProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
CPost nurse staffing information every day.
December 31, 2025 · 10 citations
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
DRespond appropriately to all alleged violations.
DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DProvide safe and appropriate respiratory care for a resident when needed.
DEnsure each resident’s drug regimen must be free from unnecessary drugs.
DEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
DProvide special eating equipment and utensils for residents who need them and appropriate assistance.
October 28, 2024 · 8 citations, includes actual harm
GProvide appropriate pressure ulcer care and prevent new ulcers from developing.
EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
EProvide and implement an infection prevention and control program.
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
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.
October 31, 2022 · 12 citations
FProvide and implement an infection prevention and control program.
FDesignate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
DHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
DProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
DAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DProvide enough food/fluids to maintain a resident's health.
DImplement a program that monitors antibiotic use.
Questions to ask on a tour of Main Street Terrace Care Center
- Inspectors cited the home at the actual-harm level on October 28, 2024 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 December 31, 2025. How are staff trained, and how are concerns reported?
- CMS rates short-stay quality 2 out of 5. How often do rehab patients go back to the hospital, and how many therapy sessions a week are typical?
- 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
1 penalty in the last three years.
| Date | Type | Amount or length |
|---|---|---|
| Oct 28, 2024 | Payment Denial | 16 days of payments denied |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 4/5 | 3/5 | 3/5 | 5/5 |
| August 2026 | 4/5 | 3/5 | 4/5 | 5/5 |
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Location
Hospitals near Main Street Terrace 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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0.2 mi
Fairfield Medical Center LancasterEmergency room ★★☆☆☆ Medicare overall 2 of 5Median ER visit 2h 25m for patients treated and sent home
- 13.9 mi
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14.5 mi
Diley Ridge Medical Center Canal WinchesterEmergency roomMedian ER visit 1h 49m 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
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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.