Avenue Assisted Living
State licensed400 COMMUNITY DR, Avon Lake, OH 44012
Assisted Living
Assisted living & personal care24-hour supervisionMedication management
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Prices not published
About Main Street Care Center
Main Street Care Center brings skilled nursing and rehabilitation expertise to Avon Lake, Ohio, where experienced staff focus on recovery and quality care. Whether your loved one needs short-term rehabilitation or ongoing medical support, our team provides compassionate attention to help them regain independence and wellness.
Community at a glance
Capacity
120 residents
Location
Avon Lake, OH
Status
Listed in a public registry
Care & services offered
Skilled Nursing
Contact & location
500 COMMUNITY DRIVE, Avon Lake, Ohio 44012
Medicare inspection record
From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov
At its most recent standard inspection, on April 24, 2026, state inspectors cited 8 health deficiencies (the Ohio average is 10.3).
Nurses and nurse aides spend 3 hours 31 minutes with each resident a day, about the same as the Ohio average.
Medicare fined Main Street Care Center 2 times in the last three years, $49,501 in total.
Staffing
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 3 hours 31 minutes |
| Registered nurse time per resident, per day | 41 minutesAbove the Ohio average |
| Nursing staff who left in the past year | 48% |
Inspections
18 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
April 24, 2026 · Standard inspection · 8 citations
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Residents were harmed, a few residents (level G)Quality of Life and CareFrom a complaintCorrected May 13, 2026Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Residents were harmed, a few residents (level G)Quality of Life and CareFrom a complaintCorrected May 13, 2026Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryCorrected May 13, 2026Ensure 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.
Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected May 13, 2026Ensure 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.
Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected May 13, 2026Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected May 13, 2026Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Risk of harm, no one hurt, a few residents (level D)AdministrationCorrected May 13, 2026Assist a resident in gaining access to vision and hearing services.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected May 13, 2026
January 9, 2025 · Complaint investigation · 4 citations
Ensure that residents are free from significant medication errors.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected Jan 28, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Jan 28, 2025Ensure each resident receives an accurate assessment.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Jan 28, 2025Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Jan 28, 2025
September 3, 2024 · Complaint investigation · 4 citations+
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Residents were harmed, a few residents (level G)Quality of Life and CareFrom a complaintCorrected Sep 17, 2024Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareFrom a complaintCorrected Sep 17, 2024Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Sep 17, 2024Ensure that a resident does not develop patterns of decreased social interaction and/or increased withdrawn, angry, or depressive behaviors, unless unavoidable.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Sep 17, 2024
June 6, 2024 · Standard inspection · 1 citation+
Reasonably accommodate the needs and preferences of each resident.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Jun 27, 2024
February 28, 2024 · Complaint investigation · 1 citation+
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Residents were harmed, a few residents (level G)Quality of Life and CareFrom a complaintCorrected Feb 29, 2024
Fines and payment denials
2 fines totaling $49,501 in the last three years.
- April 24, 2026Fine: $32,700
- February 28, 2024Fine: $16,801
About the home, per Medicare
- Ownership
- For profit - Corporation
- Legal business name
- Main Street Care Center, Ltd.
- Medicare-certified beds
- 120
- Average residents per day
- 111
- Accepts
- Medicare and Medicaid
- First certified
- May 1, 1992
- Part of a chain
- Sprenger Health Care Systems, 12 homes
- Inside a hospital
- No
- Continuing care retirement community
- Yes
- Resident or family council
- Resident
- Sprinklers in all required areas
- Yes
- CMS Certification Number
- 365865
Location
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500 COMMUNITY DRIVEAvon Lake, OH 44012
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Assisted Living
Assisted living & personal care24-hour supervisionMedication management
Call for pricing
Prices not published
Questions about Main Street Care Center
How did Main Street Care Center do on its last inspection?+
State inspectors visited on April 24, 2026 and cited 8 health deficiencies, 2 of them from complaint investigations. The Ohio average is 10.3.
How much nursing care does each resident get at Main Street Care Center?+
Nurses and aides spend 3 hours 31 minutes with each resident per day, including 41 minutes from registered nurses. 48% of nursing staff left over the past year.
Has Main Street Care Center been fined by Medicare?+
Yes. Medicare fined Main Street Care Center 2 times in the last three years, totaling $49,501.
Does Medicare cover skilled nursing?+
Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.
How much does a nursing home cost?+
A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.
What is the CMS star rating?+
Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.