CCN 365865 · Lorain County, Ohio
Main Street Care Center
500 Community Drive, Avon Lake, OH 44012
Main Street Care Center is a 120-bed for-profit nursing home in Avon Lake, Ohio, first certified for Medicare or Medicaid in 1992. CMS rates it 3 out of 5 stars overall in its September 2026 data, and it averaged 111.4 residents a day, about 93% of its certified beds. We found no FHA-insured Section 232 loan for it in HUD's healthcare endorsement database (fiscal 2001 onward).
Facility facts
- Certified beds
- 120
- Average residents per day
- 111.4 (92.8% of beds)
- Ownership type
- For profit - Corporation
- Certification
- Medicare and Medicaid
- Legal business name
- Main Street Care Center, Ltd.
- Certified since
- May 1, 1992
- Chain or affiliated group
- Sprenger Health Care Systems (12 facilities, chain average 3.5 stars)
- Location
- Urban, part of a continuing care retirement community
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | Ohio median | US median |
|---|---|---|---|
| Overall rating | 3 of 5 | State spread: 118 at 1, 216 at 2, 180 at 3, 190 at 4, 209 at 5 | |
| Health inspections | 2 of 5 | ||
| Quality measures | 5 of 5 | ||
| Staffing | 3 of 5 | ||
| Total nurse hours per resident per day | 3.52 | 3.57 | 3.68 |
| RN hours per resident per day | 0.68 | 0.59 | 0.58 |
| Weekend nurse hours per resident per day | 3.26 | ||
| Nursing staff turnover | 47.7% | 48.5% | 44.9% |
| Occupancy (residents / beds) | 92.8% | 87.2% | 85.7% |
| Fines reported by CMS | 2 totaling $49,501 | ||
| Health deficiencies, latest standard survey | 8 (Apr 24, 2026) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Main Street Care Center meets that part today: 3 stars overall, 2 on health inspections, no abuse icon. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.
| Name | Role | Share | Since |
|---|---|---|---|
| Bluesky Healthcare IncOrganization | Direct Ownership Interest | 50% | 01/01/2008 |
| Tca Investments, Ltd.Organization | Direct Ownership Interest | 50% | 01/01/2008 |
| Hutsenpiller, WendieIndividual | Indirect Ownership Interest | 9% | 11/04/2012 |
| Kopf, JoanneIndividual | Indirect Ownership Interest | 38% | 12/08/2023 |
| Malanowski, KennethIndividual | Indirect Ownership Interest | 10% | 11/04/2012 |
| Sprenger, NicoleIndividual | Indirect Ownership Interest | 15% | 01/01/2008 |
| Sprenger, TraceyIndividual | Indirect Ownership Interest | 15% | 01/01/2008 |
| Cms & Co. Management Services, Inc.Organization | Operational / Managerial Control | n/a | 01/01/2008 |
| Bodziony, AndreaIndividual | Operational / Managerial Control | n/a | 11/18/2024 |
| Courtock, MelissaIndividual | Operational / Managerial Control | n/a | 12/02/2002 |
| Epperly, RobertIndividual | Operational / Managerial Control | n/a | 01/20/2022 |
| Fox, EmilyIndividual | Operational / Managerial Control | n/a | 12/31/2024 |
| Gollinger, KristenIndividual | Operational / Managerial Control | n/a | 11/13/2000 |
| Kuhn, ShannonIndividual | Operational / Managerial Control | n/a | 12/31/2024 |
Changes of ownership
No change of ownership for this facility appears in the CMS change-of-ownership file, which starts in January 2016.
HUD Section 232 loans
No FHA-insured loan matching this facility appears in HUD's database of healthcare endorsements, which covers fiscal 2001 onward (HUD data run of July 8, 2026). A loan could still exist under a different project name or from before 2001.
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
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