The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited September 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
Nursing home report
MAIN STREET CARE CENTER
AVON LAKE, OH · Medicare-certified · 120 beds
In good standing
For-profitChain member
4 of 5 overall
MAIN STREET CARE CENTER (Avon Lake, OH) has a 4 of 5-star overall rating, with strong quality measures (5 of 5) but middling health inspection and staffing ratings (3 of 5 each). Reported nurse staffing is 3.56 hours per resident per day, below the federal benchmark of 4.1, and there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.5557 hrs/resident/day
Quality measures
Last inspection: January 9, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.5557.
Staffing detail
- Registered nurses
- 0.65
- Licensed practical nurses
- 0.75
- Nurse aides
- 2.16
- Weekend nursing
- 3.27
Hours per resident per day.
Total staff turnover: 53%
Registered nurse turnover: 31%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
1.8%Improving
Residents with a fall causing major injury
4.6%Worsening
Residents with pressure ulcers (bedsores)
1.6%Worsening
Residents with a urinary tract infection
0%Steady
Residents who lost too much weight
3.8%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
3.2%Improving
Residents whose ability to walk got worse
2.7%Worsening
Show all measures
Long-stay residents on antianxiety or sleep medication
34.7%Worsening
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
0.3%Steady
Residents with new or worsening incontinence
32.5%Worsening
Residents with depressive symptoms
2.9%Improving
Long-stay residents given the seasonal flu vaccine
99%Steady
Long-stay residents given the pneumonia vaccine
98.9%Worsening
Short-stay residents given the seasonal flu vaccine
89.3%Steady
Short-stay residents given the pneumonia vaccine
94.5%Steady
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited February 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited March 2022 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The nursing home failed to report COVID-19 data to residents and families. Cited March 2022 — widespread issue, potential for harm.
View the original federal record
F-Tag 885 — 42 CFR §483.80 — S/S: F
The home failed to provide proper bladder and bowel care, including catheter care and steps to prevent urinary tract infections. Cited September 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 690 — 42 CFR §483.25(e) — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $16,801 in total fines.
- $16,801
Federal fine
Feb 28, 2024
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of SPRENGER HEALTH CARE SYSTEMS · 12 homes · 3.9 stars avg
- Occupancy
- 108.4 residents on an average day (90% of 120 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 34 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.