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Main Street Care Center, Avon Lake, OH: 3 star rating, fined $49,501 across 2 fines

Main Street Care Center in Avon Lake, OH is owned by Bluesky Healthcare Inc and Tca Investments, LTD., is rated 3 of 5 stars by Medicare, and was fined $49,501 across 2 fines in the three years to October 1, 2026. CMS lists 18 health citations from inspections in that time, the latest survey on April 24, 2026, and 4 of them found actual harm or immediate jeopardy.

SpecStream is the live web data engine for teams and agents. It reads the CMS nursing home files every month, and this page is that reading, joined on the CMS Certification Number. Ask for the nursing homes you track by state, owner or rating and new inspection citations and fines arrive in your sheet, CRM, Slack or agent as CMS publishes them.

Watch this facility's inspections and finesGet every facility this owner runsGet nursing homes in Ohio
Address
500 Community Drive, Avon Lake, OH 44012
Overall rating
3 of 5 stars
Health inspection rating
2 of 5
Staffing rating
3 of 5
Quality measure rating
5 of 5
Certified beds
120
Residents per day
114 on average
Ownership type
For profit, corporation
Legal business name
Main Street Care Center, LTD.
Chain
Sprenger Health Care Systems, 12 facilities
Fines
$49,501 across 2 fines, three years to October 1, 2026
Payment denials
0
Health citations
18, of which 4 with actual harm or immediate jeopardy
Latest survey
April 24, 2026
CMS Certification Number
365865
On Care Compare
Medicare Care Compare

Fines and payment denials

Every fine and payment denial CMS lists for this facility in the three years, newest first.

DateTypeFine amountDenial startsDenial daysSource
April 24, 2026Fine$32,700Not listeddata.cms.gov
February 28, 2024Fine$16,801Not listeddata.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
April 24, 2026F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G: isolated, actual harmCorrectedMay 13, 2026data.cms.gov
April 24, 2026F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G: isolated, actual harmCorrectedMay 13, 2026data.cms.gov
April 24, 2026F849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 13, 2026data.cms.gov
April 24, 2026F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 13, 2026data.cms.gov
April 24, 2026F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.F: widespread, no actual harm, potential for more than minimal harmCorrectedMay 13, 2026data.cms.gov
April 24, 2026F803Ensure 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 13, 2026data.cms.gov
April 24, 2026F761Ensure 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 13, 2026data.cms.gov
April 24, 2026F685Assist a resident in gaining access to vision and hearing services.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 13, 2026data.cms.gov
January 9, 2025F760Ensure that residents are free from significant medication errors.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 28, 2025data.cms.gov
January 9, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 28, 2025data.cms.gov
January 9, 2025F641Ensure each resident receives an accurate assessment.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 28, 2025data.cms.gov
January 9, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 28, 2025data.cms.gov
September 3, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G: isolated, actual harmCorrectedSeptember 17, 2024data.cms.gov
September 3, 2024F743Ensure that a resident does not develop patterns of decreased social interaction and/or increased withdrawn, angry, or depressive behaviors, unless unavoidable.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 17, 2024data.cms.gov
September 3, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.E: pattern, no actual harm, potential for more than minimal harmCorrectedSeptember 17, 2024data.cms.gov
September 3, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 17, 2024data.cms.gov
June 6, 2024F558Reasonably accommodate the needs and preferences of each resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 27, 2024data.cms.gov
February 28, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G: isolated, actual harmCorrectedFebruary 29, 2024data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 38 individual or personal trusts (6 owners, 11 managers, 6 officers, directors or trustees, 15 other disclosable parties). Their names are not shown on this page.

OrganizationRoleShareSinceSource
Bluesky Healthcare IncDirect owner50%January 1, 2008data.cms.gov
Tca Investments, LTD.Direct owner50%January 1, 2008data.cms.gov
CMS & Co. Management Services, Inc.Operational or managerial controlNot listedJanuary 1, 2008data.cms.gov
Bluesky Healthcare IncAdditional disclosable partyNot listedJanuary 3, 2025data.cms.gov
CMS & Co. Management Services, Inc.Additional disclosable partyNot listedFebruary 13, 2025data.cms.gov
Tca Investments, LTD.Additional disclosable partyNot listedJanuary 21, 2025data.cms.gov

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.