Main Street Care Center
500 COMMUNITY DRIVE, Avon Lake, OH 44012
Avon Lake, Ohio · CMS verdict
CMS places Main Street Care Center in the above-average range on the federal scale, and above the Ohio average of 3.2.
The rating and the PlainElderCare Index below summarize federal inspection, staffing, and outcome data, they measure specific, documented dimensions of this facility, not a holistic verdict on the care your family member would receive. Visit in person, talk with staff and current residents' families, and weigh your family member's specific needs before choosing.
Main Street Care Center in Avon Lake, Ohio holds a CMS overall rating of 4 of 5 stars and a PlainElderCare Quality & Compliance Index of 60 of 100 (grade D). Its CMS inspection record lists multiple deficiencies. Figures are from CMS Nursing Home Compare.
Quality & Compliance Index (mid-pack stars)
This facility's CMS overall rating is mid-pack among U.S. rated homes. A transparent composite of this facility's CMS Care Compare sub-ratings and its federal inspection record. It complements, and does not replace, the official CMS overall star rating shown at the top of the page. How this is calculated.
How the 60 is built
Each segment is a dimension's weighted points toward the score, summing to 60.
Weights: health inspections 30%, staffing 25%, quality measures 25%, inspection record 20%; any dimension CMS has not published drops out and its weight redistributes (no silent deflation). Inspection record is benchmarked against all rated US nursing homes. Source: CMS Nursing Home Compare.
Main Street Care Center's mid-pack CMS stars
Quality ratings
The rating comes from CMS's most recent Care Compare release (data as of April 2026). CMS rolls three sub-ratings into the overall star: health inspection, staffing, and quality measures. The chart below sets each of them against the Ohio average.
What each sub-rating measures
The health inspection rating reflects on-site surveyor findings from the last three cycles. The staffing rating compares case-mix-adjusted nurse hours per resident day to national benchmarks, and quality measures aggregate 15 clinical indicators including pressure ulcers, falls with injury, and long-stay antipsychotic use.
Size and setting
Located in Avon Lake, Ohio. Bed capacity and average daily census, where CMS reports them, are in Facility details below. Its ownership type, listed in Facility details, can influence staffing patterns, reinvestment decisions, and admissions policy. Occupancy of about 89% puts this facility in normal territory for a stabilized operation, neither unusually full nor unusually empty.
Same-ownership peers
Within Ohio, Main Street Care Center is one of 490 for profit - corporation nursing homes CMS rates. Its 4-star overall rating sits above the for profit - corporation-segment average of 3.2 stars, ahead of roughly 54% of same-ownership peers in the state. Peer comparisons within the same ownership type are more apples-to-apples than a state-wide average, since for-profit, non-profit, and government operators tend to differ systematically in staffing and reinvestment.
Inspection record
On the regulatory side, federal and state surveyors have documented multiple deficiencies at this facility; the counts are in Facility details below. CMS has levied enforcement penalties - civil money penalties or denials of payment, during the same window. This is a high deficiency count relative to most facilities; requesting the full survey report directly is the only way to see whether these are concentrated in one area or spread across the facility's operations.
Where these figures come from
Figures above come from CMS Nursing Home Compare (Care Compare, data as of April 2026) with state cost medians from the CareScout 2025 Cost of Care Survey. See our methodology for vintage.
How Main Street Care Center compares to Ohio
CMS five-star sub-ratings (0–5) for this facility against the Ohio facility-weighted average. Source: CMS Care Compare.
Bar = this facility's rating · vertical marker = Ohio state average. Higher is better on all four CMS measures.
Where Main Street Care Center ranks in Ohio
Among the 911 CMS-rated nursing homes in Ohio, Main Street Care Center’s 4-star overall rating is higher than 56% of them. The bars show how all Ohio homes spread across the CMS 1-to-5 scale; this facility’s band is highlighted.
192 Ohio homes share this 4-star rating. Source: CMS Nursing Home Compare.
Facility details
| Attribute | Value |
|---|---|
| Beds | 120 |
| Residents | 107 |
| Ownership | For profit - Corporation |
| County | Lorain |
| Penalties | 1 |
| Deficiencies | 31 |
Source: CMS Care Compare Nursing Homes (data as of April 2026)
What do families ask most?
What is the quality rating for Main Street Care Center? ▾
Main Street Care Center has an overall CMS quality rating of 4 out of 5 stars. The health inspection, staffing, and quality measures sub-ratings behind it are compared with the Ohio average in the chart on this page.
How much does a nursing home cost per month in Ohio? ▾
In Ohio, a semi-private nursing home room runs a median $9,186/month ($110,230/year) per the CareScout 2025 survey; private rooms average $10,389/month.
What services does Main Street Care Center offer? ▾
Main Street Care Center operates as a skilled nursing facility. For the specific care and therapy services, contact the facility: CMS data covers capacity, ownership, ratings, and inspections, not a service menu.
Does Main Street Care Center have any deficiencies or penalties? ▾
Main Street Care Center has multiple deficiencies and enforcement penalties recorded by CMS; the counts are in the Facility details table. A count this high is above what most facilities post; ask the facility directly for its plan of correction on the largest findings.
What are the alternatives to a nursing home in Ohio? ▾
In Ohio, alternatives include assisted living ($6,103/mo), home health aides ($6,483/mo), and adult day care ($1,798/mo).
Keep reading
Also see the Ohio elder-care overview and highest-rated states. Provider ID: 365865.
Read our methodology - how this data is sourced, computed, and verified.