Main Street Terrace Care Center

1318 E Main Street · Lancaster, OH · 43130 · 7406538767

50 certified beds For profit - Corporation

Red flags

Medicare/Medicaid payments were denied

CMS refused payment for new admissions for a period — one of its strongest enforcement tools.

Score breakdown

Inspection record 30% of score 55
Serious harm & abuse 20% 94
Staffing 20% 72
Federal penalties 15% 82
Trend 10% 62
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 4 of 5 Inspections: 3 of 5 Staffing: 4 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day3.643.48 min · 4.1 strong
RN hours / resident-day0.610.55–0.75
Weekend hours / resident-day3.34≈ weekday level
Nursing turnover / year33%median 45%
Fines (3-yr window)none

Inspection citations (30 in the current record)

  • Potential for harm · D December 31, 2025

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Corrected February 10, 2026 · Resident Rights

  • Potential for harm · D December 31, 2025

    Respond appropriately to all alleged violations.

    Corrected February 10, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D December 31, 2025

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Corrected February 10, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D December 31, 2025

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected February 10, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D December 31, 2025

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected February 10, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D December 31, 2025

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected February 10, 2026 · Quality of Life and Care

  • Potential for harm · D December 31, 2025

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Corrected February 10, 2026 · Pharmacy Service

  • Potential for harm · D December 31, 2025

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Corrected February 10, 2026 · Nutrition and Dietary

  • Potential for harm · D December 31, 2025

    Provide special eating equipment and utensils for residents who need them and appropriate assistance.

    Corrected February 10, 2026 · Nutrition and Dietary

  • Potential for harm · F December 31, 2025

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected February 10, 2026 · Nutrition and Dietary

  • Actual harm · G October 28, 2024

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected December 6, 2024 · Quality of Life and Care

  • Potential for harm · D October 28, 2024

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected December 6, 2024 · Resident Rights

  • Potential for harm · E October 28, 2024

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected December 6, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D October 28, 2024

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected December 6, 2024 · Quality of Life and Care

  • Potential for harm · D October 28, 2024

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected December 6, 2024 · Quality of Life and Care

  • Potential for harm · D October 28, 2024

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected December 6, 2024 · Quality of Life and Care

  • Potential for harm · D October 28, 2024

    Ensure that residents are free from significant medication errors.

    Corrected December 6, 2024 · Pharmacy Service

  • Potential for harm · E October 28, 2024

    Provide and implement an infection prevention and control program.

    Corrected December 6, 2024 · Infection Control

  • Potential for harm · D October 31, 2022

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

    Corrected December 14, 2022 · Resident Rights

  • Potential for harm · D October 31, 2022

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected December 14, 2022 · Resident Rights

  • Potential for harm · D October 31, 2022

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Corrected December 14, 2022 · Resident Rights

  • Potential for harm · D October 31, 2022

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Corrected December 14, 2022 · Resident Rights

  • Potential for harm · D October 31, 2022

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

    Corrected December 14, 2022 · Resident Assessment and Care Planning

  • Potential for harm · D October 31, 2022

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected December 14, 2022 · Resident Assessment and Care Planning

  • Potential for harm · D October 31, 2022

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected December 14, 2022 · Resident Assessment and Care Planning

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
October 28, 2024Payment Denial16 days

Family & resident reviews — a separate signal, never mixed into the score

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 366016 · certified since July 12, 1995. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.