{
 "id": "365865",
 "kind": "snf",
 "kind_label": "Nursing home",
 "name": "Main Street Care Center",
 "slug": "main-street-care-center",
 "path": "/oh/lorain/avon-lake/main-street-care-center",
 "address": {
  "street": "500 COMMUNITY DRIVE",
  "city": "Avon Lake",
  "county": "Lorain",
  "state": "OH",
  "state_name": "Ohio",
  "zip": "44012"
 },
 "phone": "4409306600",
 "coords": [
  41.495676,
  -82.025891
 ],
 "capacity": 120,
 "residents_per_day": 111.4,
 "status": "Medicare and Medicaid",
 "licensee": "Main Street Care Center, LTD.",
 "administrator": null,
 "licensed_since": "1992-05-01",
 "last_visit": "2026-04-24",
 "visits_total": null,
 "citations": {
  "type_a": null,
  "type_b": null,
  "basis": "Not applicable: certified federally, not cited by the state"
 },
 "citations_by_visit_type": {
  "complaint": {
   "visits": null,
   "type_a": null,
   "type_b": null
  },
  "inspection": {
   "visits": null,
   "type_a": null,
   "type_b": null
  },
  "other": {
   "visits": null,
   "type_a": null,
   "type_b": null
  }
 },
 "allegations": {
  "substantiated": null,
  "inconclusive": null,
  "unsubstantiated": null,
  "unfounded": null,
  "investigated": null
 },
 "capabilities": {},
 "capabilities_raw": null,
 "reports_on_file": 0,
 "reports": [],
 "federal": {
  "ownership_type": "For profit - Corporation",
  "chain": "SPRENGER HEALTH CARE SYSTEMS",
  "in_hospital": false,
  "ccrc": true,
  "abuse_icon": false,
  "special_focus": null,
  "ratings": {
   "overall": 3,
   "health_inspection": 2,
   "staffing": 3,
   "quality": 5
  },
  "cycle1": {
   "date": "2026-04-24",
   "total": 8,
   "standard": 8,
   "complaint": 2
  },
  "fines": {
   "count": 1,
   "dollars": 16801,
   "penalties": 1
  },
  "staffing": {
   "nurse_hours_per_resident_day": 3.51875,
   "turnover_pct": 47.7
  },
  "on_record": {
   "immediate_jeopardy": 0,
   "actual_harm": 4,
   "potential_harm": 25,
   "minimal": 2
  },
  "penalties_on_file": {
   "count": 1,
   "dollars": 16801
  },
  "owners": [
   {
    "name": "BLUESKY HEALTHCARE INC",
    "role": "Organization",
    "since": "since 01/01/2008",
    "share": "50%"
   },
   {
    "name": "TCA INVESTMENTS, LTD.",
    "role": "Organization",
    "since": "since 01/01/2008",
    "share": "50%"
   },
   {
    "name": "HUTSENPILLER, WENDIE",
    "role": "Individual",
    "since": "since 11/04/2012",
    "share": "9%"
   },
   {
    "name": "KOPF, JOANNE",
    "role": "Individual",
    "since": "since 12/08/2023",
    "share": "38%"
   },
   {
    "name": "MALANOWSKI, KENNETH",
    "role": "Individual",
    "since": "since 11/04/2012",
    "share": "10%"
   },
   {
    "name": "SPRENGER, NICOLE",
    "role": "Individual",
    "since": "since 01/01/2008",
    "share": "15%"
   },
   {
    "name": "SPRENGER, TRACEY",
    "role": "Individual",
    "since": "since 01/01/2008",
    "share": "15%"
   },
   {
    "name": "EDELSTEIN, BARRY",
    "role": "Individual",
    "since": "since 01/01/2008",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "MALANOWSKI, KENNETH",
    "role": "Individual",
    "since": "since 01/01/2013",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "SPRENGER, NICOLE",
    "role": "Individual",
    "since": "since 10/01/2013",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "SPRENGER, TRACEY",
    "role": "Individual",
    "since": "since 01/01/2013",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "FOX, EMILY",
    "role": "Individual",
    "since": "since 12/31/2024",
    "share": "NOT APPLICABLE"
   }
  ]
 },
 "deficiencies": [
  {
   "date": "2026-04-24",
   "tag": "0686",
   "sev": "G",
   "complaint": true
  },
  {
   "date": "2026-04-24",
   "tag": "0689",
   "sev": "G",
   "complaint": true
  },
  {
   "date": "2026-04-24",
   "tag": "0804",
   "sev": "F",
   "complaint": false
  },
  {
   "date": "2026-04-24",
   "tag": "0761",
   "sev": "E",
   "complaint": false
  },
  {
   "date": "2026-04-24",
   "tag": "0803",
   "sev": "E",
   "complaint": false
  },
  {
   "date": "2026-04-24",
   "tag": "0812",
   "sev": "E",
   "complaint": false
  },
  {
   "date": "2026-04-24",
   "tag": "0685",
   "sev": "D",
   "complaint": false
  },
  {
   "date": "2026-04-24",
   "tag": "0849",
   "sev": "D",
   "complaint": false
  },
  {
   "date": "2025-01-09",
   "tag": "0609",
   "sev": "D",
   "complaint": true
  },
  {
   "date": "2025-01-09",
   "tag": "0641",
   "sev": "D",
   "complaint": true
  },
  {
   "date": "2025-01-09",
   "tag": "0689",
   "sev": "D",
   "complaint": true
  },
  {
   "date": "2025-01-09",
   "tag": "0760",
   "sev": "D",
   "complaint": true
  },
  {
   "date": "2024-09-03",
   "tag": "0686",
   "sev": "G",
   "complaint": true
  },
  {
   "date": "2024-09-03",
   "tag": "0690",
   "sev": "E",
   "complaint": true
  },
  {
   "date": "2024-09-03",
   "tag": "0689",
   "sev": "D",
   "complaint": true
  },
  {
   "date": "2024-09-03",
   "tag": "0743",
   "sev": "D",
   "complaint": true
  },
  {
   "date": "2024-06-06",
   "tag": "0558",
   "sev": "D",
   "complaint": false
  },
  {
   "date": "2024-02-28",
   "tag": "0689",
   "sev": "G",
   "complaint": true
  },
  {
   "date": "2023-09-22",
   "tag": "0686",
   "sev": "D",
   "complaint": true
  },
  {
   "date": "2023-08-08",
   "tag": "0679",
   "sev": "E",
   "complaint": true
  }
 ],
 "source": {
  "name": "Centers for Medicare & Medicaid Services, Nursing Home Care Compare",
  "retrieved": "2026-07-29",
  "licence_number": "365865"
 }
}