MAIN STREET CARE CENTER
Open-data reference.
MAIN STREET CARE CENTER is a for profit - corporation facility in AVON LAKE, OH with 120 certified beds and a 4-star overall CMS rating. The facility has 31 deficiency records on file. Total penalties: $17K.
500 COMMUNITY DRIVE, AVON LAKE, OH 44012
Phone: 4409306600
Overall Rating
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 365865
- Ownership
- For profit - Corporation
- Provider Type
- Medicare and Medicaid
- Beds
- 120
- Residents
- 107
- In Hospital
- No
- County
- Lorain
- Last Inspection
- Jun 6, 2024
Staffing Data
- RN Hours
- 0.74 (nat'l avg: 0.68)
- LPN Hours
- 0.61
- CNA Hours
- 2.20
- Total Nursing Hours
- 3.55 (nat'l avg: 3.89)
- PT Hours
- 0.05
- Nursing Turnover
- 52.3%
- RN Turnover
- 26.7%
What the CMS Record Reveals About MAIN STREET CARE CENTER
MAIN STREET CARE CENTER operates 120 certified beds in AVON LAKE, OH with approximately 107 residents currently in care, and carries a CMS overall rating of 4 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (3★), staffing levels (3★), and quality measures (5★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.
The inspection file contains 31 deficiency records from recent surveys, of which 3 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 1 penalty totaling $17K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 3.55 total nursing hours per resident day (national average 3.89), with RN coverage at 0.74 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.
Classified as "For profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, MAIN STREET CARE CENTER falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 52.3%, above the level where continuity of care typically begins to suffer. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.
Deficiency History (31 most recent)
Ensure that residents are free from significant medication errors.
Category: Pharmacy Service Deficiencies
Corrected: Jan 28, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: Jan 28, 2025
Ensure each resident receives an accurate assessment.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Jan 28, 2025
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Jan 28, 2025
Ensure that a resident does not develop patterns of decreased social interaction and/or increased withdrawn, angry, or depressive behaviors, unless unavoidable.
Category: Quality of Life and Care Deficiencies
Corrected: Sep 17, 2024
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Category: Quality of Life and Care Deficiencies
Corrected: Sep 17, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: Sep 17, 2024
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Category: Quality of Life and Care Deficiencies
Corrected: Sep 17, 2024
Reasonably accommodate the needs and preferences of each resident.
Category: Resident Rights Deficiencies
Corrected: Jun 27, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: Feb 29, 2024
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Category: Quality of Life and Care Deficiencies
Corrected: Oct 6, 2023
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Aug 23, 2023
Provide activities to meet all resident's needs.
Category: Quality of Life and Care Deficiencies
Corrected: Aug 23, 2023
Ensure that residents are fully informed and understand their health status, care and treatments.
Category: Resident Rights Deficiencies
Corrected: Aug 23, 2023
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Category: Quality of Life and Care Deficiencies
Corrected: Jul 6, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: Mar 21, 2023
Report COVID19 data to residents and families.
Category: Infection Control Deficiencies
Corrected: Apr 11, 2022
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Apr 11, 2022
Dispose of garbage and refuse properly.
Category: Nutrition and Dietary Deficiencies
Corrected: Apr 11, 2022
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Category: Nutrition and Dietary Deficiencies
Corrected: Apr 11, 2022
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.
Category: Pharmacy Service Deficiencies
Corrected: Apr 11, 2022
Post nurse staffing information every day.
Category: Nursing and Physician Services Deficiencies
Corrected: Apr 11, 2022
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Category: Quality of Life and Care Deficiencies
Corrected: Apr 11, 2022
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Category: Quality of Life and Care Deficiencies
Corrected: Apr 11, 2022
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.
Category: Resident Rights Deficiencies
Corrected: Apr 11, 2022
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Jun 17, 2019
Dispose of garbage and refuse properly.
Category: Nutrition and Dietary Deficiencies
Corrected: Jun 17, 2019
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Category: Nutrition and Dietary Deficiencies
Corrected: Jun 17, 2019
Provide activities to meet all resident's needs.
Category: Quality of Life and Care Deficiencies
Corrected: Jun 17, 2019
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Jun 17, 2019
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Category: Resident Rights Deficiencies
Corrected: Jun 17, 2019
Quality Measures
| Measure | Type | Score | Used in Rating |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 3.9% | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 3.1% | No |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.3% | Yes |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | Yes |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 4.7% | No |
| Percentage of long-stay residents who were physically restrained | Long Stay | 0.0% | No |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.3% | Yes |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | Long Stay | 100.0% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 94.1% | No |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.5% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 1.4% | Yes |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 34.3% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 99.0% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | 89.3% | No |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 1.9% | Yes |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 34.2% | No |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 6.2% | Yes |
Penalty History 1 penalties totaling $17K
| Date | Type | Amount |
|---|---|---|
| Feb 28, 2024 | Fine | $17K |
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Understanding Nursing Home Data
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Medicare Plans
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County Health Data
Health outcomes, access, and quality metrics for Lorain on PlainHealth
Frequently Asked Questions
What is the overall CMS rating for MAIN STREET CARE CENTER?
What are the staffing levels at MAIN STREET CARE CENTER?
How many beds does MAIN STREET CARE CENTER have?
Does MAIN STREET CARE CENTER have any deficiencies on record?
Has MAIN STREET CARE CENTER received any fines or penalties?
Who owns MAIN STREET CARE CENTER?
When was MAIN STREET CARE CENTER last inspected?
What quality measures are tracked for MAIN STREET CARE CENTER?
Data Sources
Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.
Read our methodology — how this data is sourced, computed, and verified.