Independent Ohio nursing-home information · CMS data updated August 2026
CMS certification number 365865

Main Street Care Center in Avon Lake, Ohio

500 Community Drive, Avon Lake, OH 44012 · Lorain County

3CMS overall rating
2Health inspection
3Staffing rating
5Quality measures

August 2026 facility data

This profile reports CMS ratings, staffing, inspection, enforcement, and ownership records from the stated snapshot. Review dates and source records before making a care decision.

Facility snapshot

Certified beds120
Average residents/day111.4
Ownership typeFor profit - Corporation
ChainSprenger Health Care Systems
Reported nurse hours/resident/day3.51875
Reported RN hours/resident/day0.67986
Nursing staff turnover47.7%

Official inspection findings

The supplied CMS files contain 31 health and 19 fire-safety citation rows for this provider. 4 health rows have a G–L scope/severity code. The table shows the 10 most recent health rows of all severity levels. These are official inspection findings; they are not civil or criminal judgments.

Survey dateSeverityFinding
2026-04-24GQuality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
2026-04-24GQuality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2026-04-24FNutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
2026-04-24EPharmacy Service Deficiencies
Ensure 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.
2026-04-24ENutrition and Dietary Deficiencies
Ensure 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.
2026-04-24ENutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
2026-04-24DQuality of Life and Care Deficiencies
Assist a resident in gaining access to vision and hearing services.
2026-04-24DAdministration Deficiencies
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
2025-01-09DFreedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
2025-01-09DResident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.

Penalties

Provider summary: 1 penalties and $16,801 in total fines. Individual rows supplied:

DateTypeAmount
2024-02-28Fine$16,801

Reported ownership and management

NameTypeRoleAssociation
BLUESKY HEALTHCARE INCOrganization5% OR GREATER DIRECT OWNERSHIP INTERESTsince 01/01/2008
TCA INVESTMENTS, LTD.Organization5% OR GREATER DIRECT OWNERSHIP INTERESTsince 01/01/2008
HUTSENPILLER, WENDIEIndividual5% OR GREATER INDIRECT OWNERSHIP INTERESTsince 11/04/2012
KOPF, JOANNEIndividual5% OR GREATER INDIRECT OWNERSHIP INTERESTsince 12/08/2023
MALANOWSKI, KENNETHIndividual5% OR GREATER INDIRECT OWNERSHIP INTERESTsince 11/04/2012
SPRENGER, NICOLEIndividual5% OR GREATER INDIRECT OWNERSHIP INTERESTsince 01/01/2008
SPRENGER, TRACEYIndividual5% OR GREATER INDIRECT OWNERSHIP INTERESTsince 01/01/2008
EDELSTEIN, BARRYIndividualINDIRECT OWNERSHIP INTERESTsince 01/01/2008
MALANOWSKI, KENNETHIndividualCORPORATE DIRECTORsince 01/01/2013
SPRENGER, NICOLEIndividualCORPORATE DIRECTORsince 10/01/2013
SPRENGER, TRACEYIndividualCORPORATE DIRECTORsince 01/01/2013
FOX, EMILYIndividualCORPORATE OFFICERsince 12/31/2024
KUHN, SHANNONIndividualCORPORATE OFFICERsince 12/31/2024
MALANOWKI, BRANDONIndividualCORPORATE OFFICERsince 12/31/2024
CMS & CO. MANAGEMENT SERVICES, INC.OrganizationOPERATIONAL/MANAGERIAL CONTROLsince 01/01/2008
BODZIONY, ANDREAIndividualOPERATIONAL/MANAGERIAL CONTROLsince 11/18/2024
COURTOCK, MELISSAIndividualOPERATIONAL/MANAGERIAL CONTROLsince 12/02/2002
EPPERLY, ROBERTIndividualOPERATIONAL/MANAGERIAL CONTROLsince 01/20/2022
FOX, EMILYIndividualOPERATIONAL/MANAGERIAL CONTROLsince 12/31/2024
GOLLINGER, KRISTENIndividualOPERATIONAL/MANAGERIAL CONTROLsince 11/13/2000
KUHN, SHANNONIndividualOPERATIONAL/MANAGERIAL CONTROLsince 12/31/2024
MALANOWKI, BRANDONIndividualOPERATIONAL/MANAGERIAL CONTROLsince 12/31/2024
MARINO-FREETAGE, JAIMEIndividualOPERATIONAL/MANAGERIAL CONTROLsince 03/01/2011
MICALE, JACOBIndividualOPERATIONAL/MANAGERIAL CONTROLsince 02/20/2023
TUCKER, MATTIEIndividualOPERATIONAL/MANAGERIAL CONTROLsince 06/24/2024
ZRAIK, BASSEMIndividualOPERATIONAL/MANAGERIAL CONTROLsince 01/01/2023
BLUESKY HEALTHCARE INCOrganizationADP OF THE SNFsince 01/03/2025
CMS & CO. MANAGEMENT SERVICES, INC.OrganizationADP OF THE SNFsince 02/13/2025
TCA INVESTMENTS, LTD.OrganizationADP OF THE SNFsince 01/21/2025
BODZIONY, ANDREAIndividualADP OF THE SNFsince 11/18/2024
COURTOCK, MELISSAIndividualADP OF THE SNFsince 12/02/2002
EPPERLY, ROBERTIndividualADP OF THE SNFsince 01/20/2022
FOX, EMILYIndividualADP OF THE SNFsince 12/31/2024
GOLLINGER, KRISTENIndividualADP OF THE SNFsince 11/13/2000
HUTSENPILLER, WENDIEIndividualADP OF THE SNFsince 11/04/2012
KOPF, JOANNEIndividualADP OF THE SNFsince 12/08/2023
MALANOWKI, BRANDONIndividualADP OF THE SNFsince 12/31/2024
MALANOWSKI, KENNETHIndividualADP OF THE SNFsince 01/01/2013
MARINO-FREETAGE, JAIMEIndividualADP OF THE SNFsince 03/01/2011
MICALE, JACOBIndividualADP OF THE SNFsince 02/20/2023
SPRENGER, NICOLEIndividualADP OF THE SNFsince 01/01/2008
SPRENGER, TRACEYIndividualADP OF THE SNFsince 01/01/2008
TUCKER, MATTIEIndividualADP OF THE SNFsince 06/24/2024
ZRAIK, BASSEMIndividualADP OF THE SNFsince 01/01/2023