Where They Care · plain answers about nursing homes

Main Street Care Center

500 Community Drive, Avon Lake, OH 44012 · 120 beds · For profit - Corporation

The records flag: 4 citations where a resident was harmed.

Everything here comes from Medicare's own inspection and payroll records. We don't rank facilities or take payment from them.

Medicare overall rating
★★★
Average · 3 of 5
All nursing staff, hours / resident
3.37
RNs, LPNs and aides · state average 3.44
Weekend RN coverage
−13%
vs weekdays
Staff turnover
48%
state average 49%
4 citations where a resident was harmed
Harm was found, without immediate danger to life.
2 findings not yet confirmed as corrected
A correction plan is on file for these, but Medicare has not yet recorded a completed correction date.

These are drawn straight from Medicare's records. We report what the record says — we don't rate facilities or judge the care given in them.

Who's actually on the floor

Staffing is the thing most closely tied to day-to-day quality of care, and it's the number families most often never see. This is registered nurses only — a smaller figure than the all-staff total above, because it counts the most highly qualified staff on their own — per resident, per day, comparing an average weekday against an average weekend.

Weekdays
0.65 hrs
Weekends
0.57 hrs
OH average
0.60 hrs

Registered nurses only — hours per resident per day. Longer is better.

Slightly less nurse coverage at weekends — about 13% lower.

Staff turnover: 48%

High turnover matters because continuity does — a nurse who knows your mother notices when something is different about her. Someone on their second shift doesn't have that baseline.

What inspectors found

State inspectors visit at least once a year and after complaints. Over the last three years this facility received 31 citations. Raw counts mislead, though — a paperwork slip and a resident being harmed both count as one. Here they are by how serious inspectors judged them.

SeverityCitations
Actual harm
A resident was harmed, without immediate danger to life
4
Potential for harm
No one harmed yet, but conditions could allow it
25
No harm
Rule and paperwork findings
2

15 of these came from someone filing a complaint rather than a routine visit — worth weighing differently, because it means a person picked up the phone. 2 citations are not yet recorded as corrected.

Medicare has issued $16,801 in fines here over the past three years.

Disclosed affiliations

Medicare requires every facility to disclose the people and companies connected to it. Most names below are not owners — they are officers, directors, managers, trustees, and what Medicare calls “additional disclosable parties.” The role beside each name is the one Medicare recorded. This is worth reading because operators tend to run their facilities alike: where the same group stands behind a dozen homes, the record across all twelve tells you more than any single inspection does.

NameRole recorded by MedicareSince
Bluesky Healthcare INC
50% ownership interest
Direct owner (5% or more), Additional disclosable party 01/01/2008
Tca Investments, LTD.
50% ownership interest
Direct owner (5% or more), Additional disclosable party 01/01/2008
Kopf, Joanne
38% ownership interest
Indirect owner (5% or more), Additional disclosable party 12/08/2023
Sprenger, Nicole
15% ownership interest
Indirect owner (5% or more), Corporate director, Additional disclosable party 01/01/2008
Sprenger, Tracey
15% ownership interest
Indirect owner (5% or more), Corporate director, Additional disclosable party 01/01/2008
Malanowski, Kenneth
10% ownership interest
Indirect owner (5% or more), Corporate director, Additional disclosable party 11/04/2012
Hutsenpiller, Wendie
9% ownership interest
Indirect owner (5% or more), Additional disclosable party 11/04/2012
Edelstein, Barry Indirect owner 01/01/2008
Bodziony, Andrea Operational or managerial control, Additional disclosable party 11/18/2024
Cms & CO. Management Services, INC. Operational or managerial control, Additional disclosable party 01/01/2008
Courtock, Melissa Operational or managerial control, Additional disclosable party 12/02/2002
Epperly, Robert Operational or managerial control, Additional disclosable party 01/20/2022
Fox, Emily Corporate officer, Operational or managerial control, Additional disclosable party 12/31/2024
Gollinger, Kristen Operational or managerial control, Additional disclosable party 11/13/2000
Kuhn, Shannon Corporate officer, Operational or managerial control 12/31/2024
Malanowki, Brandon Corporate officer, Operational or managerial control, Additional disclosable party 12/31/2024
Marino-Freetage, Jaime Operational or managerial control, Additional disclosable party 03/01/2011
Micale, Jacob Operational or managerial control, Additional disclosable party 02/20/2023
Tucker, Mattie Operational or managerial control, Additional disclosable party 06/24/2024
Zraik, Bassem Operational or managerial control, Additional disclosable party 01/01/2023

Of the 20 parties disclosed here, 8 hold an ownership interest; the rest are recorded in a management, officer, financial, or other disclosable capacity. A percentage is shown only where Medicare published one — for most disclosed parties it publishes none.

Other options nearby

Most families are choosing between whatever is close enough to visit often — and visiting often is itself one of the better protections a resident has. These are the closest 8 facilities.

FacilityMilesRating Nurse hrsWeekend
St Mary of the Woods
Avon
2.7 5 1.33 −41%
Woods on French Creek Nursing & Rehab Center The
Avon
2.7 5 0.55 −30%
Avon Oaks Nursing Home
Avon
3.3 5 0.68 −25%
O'Neill Healthcare Bay Village
Bay Village
3.6 2 0.53 −47%
Avon Place Healthcare Center
Avon
3.7 2 0.36 −4%
Rae Ann Suburban
Westlake
4.6 2 0.36 −23%
Rae-Ann Westlake
Westlake
5.2 4 0.40 −17%
Huntington Woods Care & Rehab Center
Westlake
5.2 5 0.20 −37%

Weekend column shows the change in registered-nurse coverage at weekends compared with weekdays.

Worth asking on a visit

Records only tell you so much. These are the questions this facility's particular numbers suggest you ask — go on a weekend if you possibly can.

  1. Turnover here is about 48%. How long has the director of nursing been in post?
  2. 2 findings are not confirmed as corrected yet. Where do those stand?
  3. Who will actually be caring for my relative at 3am on a Saturday — an agency nurse or someone on staff?

Where these numbers come from

All figures are published by the Centers for Medicare & Medicaid Services. Different measures cover different periods — some are considerably older than others, so each is dated separately below rather than under one "last updated" stamp.

Staffing hours
Jan–Mar 2026
Staff turnover
calendar year 2025
Inspections & citations
Jul 2023 – Jun 2026
Fines & penalties
last 3 years
Ownership
as reported to Medicare
Star rating & file release
CMS file dated 1 July 2026

We report what the records say and don't draw conclusions about care quality. If you believe something on this page is wrong — email a correction. It reaches a person, not a form. We check every report, fix what is wrong, and say so on the page; see how we handle corrections. If you work at this facility and our figures disagree with your own records, we want to hear that too.