Total health inspections
3
Ohio average 6.7
Last Health inspection on Oct 2024
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Main Street Terrace Care Center
Nursing Home in Lancaster
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Main Street Terrace Care Center
Nursing Home in Lancaster
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Main Street Terrace Care Center is a distinguished nursing home in Lancaster, OH, that offers long-term care and rehabilitation. The community also provides high-quality services around the clock to meet residents’ healthcare needs and help them recover. Medicare and Medicaid are also accepted to ease residents’ financial burdens.
Engaging activities and fun events are conducted to keep residents active and socially connected. Physical, occupational, and speech therapy are also available to enhance residents’ living experiences. With its purpose-built rooms and accessible amenities, the community can accommodate up to 50 older adults and ensure they live comfortably in their later years.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Staffing hours breakdown
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Total nursing care / resident
This home is ranked 87th out of 176 homes in Ohio.
Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
This home is ranked 87th out of 176 homes in Ohio.Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
3h 27m per day
vs Ohio avg
-3%
Standout metric
RN (Weekend) is +12% above state avg
| Staff type | Hours / day | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 38m per day | ■ Avg State avg: 38m per day · National avg: 41m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 13m per day | ▲ 4% State avg: 2h 8m per day · National avg: 2h 21m per day |
|
Total Nursing (Weekend)
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 24m per day | ▲ 4% State avg: 3h 17m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 2m per day | ▼ 33% State avg: 3m per day · National avg: 4m per day |
|
RN (Weekend)
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 28m per day | ▲ 12% State avg: 25m per day · National avg: 29m per day |
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
50
This home usually has limited availability
Occupancy is moderate, suggesting balanced demand.
Occupancy rate
89.8%
Avg. Length of Stay
153 days
Occupancy rate
89.8%
Avg. Length of Stay
153 days
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Short stays
Recovery
Medicare-covered care
Breakdown by payment type
Medicare
66% of new residents, usually for short-term rehab.
Typical stay
1 months
Private pay
24% of new residents, often for short stays.
Typical stay
6 - 7 months
Medicaid
10% of new residents, often for long-term daily care.
Typical stay
2 - 3 years
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$5.9M
Profit
$278.7K
Privately-owned community
Operated by a business corporation.
Home revenue
$5.9M
Profit
$278.7K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$2.3M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$3.3M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$5.6M
Walk Score: 64 / 100
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
About this community
What does this home offer?
Accept Medicaid: Yes
Building Type: Single-story
On-site Medical Care and Health Services
Rehabilitative Support
Dining Services
Social and Recreational Activities
Types of Care at Main Street Terrace Care Center
Nursing Home
Respite Care
Hospice Care
Health Inspection History
Inspections
Total health citations
28
Ohio average 30.9
Citations per inspection
9.33
Ohio average 4.59
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 28 citations resulted from standard inspections.
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Ohio averageOhio average: 0.3
Serious Health citations
1
1
11% worse than Ohio averageOhio average: 0.9
0 critical citations
1 serious citation
27 moderate citations
0 minor citations
Citations history (last 3 years)
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Oct 28, 2024
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Oct 28, 2024
Corrected
Pharmacy moderate citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
Oct 28, 2024
Issues related to medication management, including how drugs are stored, administered, and monitored.
Oct 28, 2024
Corrected
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Oct 28, 2024
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Oct 28, 2024
Corrected
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Oct 28, 2024
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Oct 28, 2024
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around Lancaster The information below is reported by the Ohio Department of Health, Bureau of Survey and Certification.
Filter by care type
| Main Street Terrace Care Center |
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Lancaster (East Main Street) | 50 | 89.8% | +14% | 3.45 | -35% | -3% | 0 | 28 | 9.3 | 1 | 48 | - | 64 | Dupler, Peggy | $5.7M | $2.3M | 41.1% | 366016 |
Financial Assistance for
Nursing Home in Ohio
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Places of interest near Main Street Terrace Care Center
1.4 miles from city center
Estimated distance in miles from Lancaster's city center to Main Street Terrace Care Center's address, calculated via Google Maps.
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
116
Employees
55
Contractors
61
Staff to resident ratio
2.52:1
18% better than Ohio averageOhio average ratio: 2.14:1
Avg staff/day
21
Average shift
9.5 hours
17% better than Ohio averageOhio average: 8.1 hours
Total staff hours (quarter)
18,113
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
7
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
11.1 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
11.1 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
10
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.7 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
55
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.6 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.6 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
14.3%
2,593 contractor hours this quarter
Certified Nursing Assistant: 22
Licensed Practical Nurse: 10
Respiratory Therapy Technician: 7
Physical Therapy Aide: 6
Physical Therapy Assistant: 5
Speech Language Pathologist: 4
Qualified Social Worker: 4
Occupational Therapy Aide: 1
Medical Director: 1
Occupational Therapy Assistant: 1
Staff by category
| Certified Nursing Assistant | 33 | 22 | 55 | 8,934 | 91 | 100% | 10.6 |
| RN Director of Nursing | 8 | 0 | 8 | 3,137 | 91 | 100% | 12.3 |
| Registered Nurse | 7 | 0 | 7 | 1,159 | 66 | 73% | 11.1 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 706 | 66 | 73% | 7.9 |
| Other Dietary Services Staff | 2 | 0 | 2 | 687 | 83 | 91% | 6.5 |
| Physical Therapy Aide | 0 | 6 | 6 | 576 | 65 | 71% | 6.7 |
| Dietitian | 1 | 0 | 1 | 550 | 72 | 79% | 7.6 |
| Administrator | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Speech Language Pathologist | 0 | 4 | 4 | 463 | 65 | 71% | 7 |
| Licensed Practical Nurse | 0 | 10 | 10 | 342 | 30 | 33% | 10.7 |
| Respiratory Therapy Technician | 0 | 7 | 7 | 109 | 33 | 36% | 2.9 |
| Medical Director | 0 | 1 | 1 | 104 | 13 | 14% | 8 |
| Occupational Therapy Aide | 0 | 1 | 1 | 104 | 13 | 14% | 8 |
| Physical Therapy Assistant | 0 | 5 | 5 | 98 | 39 | 43% | 2.2 |
| Qualified Social Worker | 0 | 4 | 4 | 95 | 26 | 29% | 3.7 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 26 | 13 | 14% | 2 |
55 Certified Nursing Assistant
% of Days
100%
8 RN Director of Nursing
% of Days
100%
7 Registered Nurse
% of Days
73%
2 Clinical Nurse Specialist
% of Days
73%
2 Other Dietary Services Staff
% of Days
91%
6 Physical Therapy Aide
% of Days
71%
1 Dietitian
% of Days
79%
1 Administrator
% of Days
70%
1 Nurse Practitioner
% of Days
70%
4 Speech Language Pathologist
% of Days
71%
10 Licensed Practical Nurse
% of Days
33%
7 Respiratory Therapy Technician
% of Days
36%
1 Medical Director
% of Days
14%
1 Occupational Therapy Aide
% of Days
14%
5 Physical Therapy Assistant
% of Days
43%
4 Qualified Social Worker
% of Days
29%
1 Occupational Therapy Assistant
% of Days
14%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
46
Medicare
2
4.3% of residents
Medicaid
28
60.9% of residents
Private pay or other
16
34.8% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
4.2
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
4.2
29% better than Ohio averageOhio average: 5.8
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
11.2
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
11.2
12% better than Ohio averageOhio average: 12.7
Long-stay resident measures
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
6.1%
Percent of long-stay residents whose need for help with daily activities has increased
6.1%
11% better than Ohio averageOhio average: 6.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
6.2%
Percent of long-stay residents whose ability to move independently worsened
6.2%
30% better than Ohio averageOhio average: 8.9%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
21.3%
Percent of low risk long-stay residents who lose control of their bowels or bladder
21.3%
In line with Ohio averageOhio average: 22.0%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
1.7%
Percent of long-stay residents experiencing one or more falls with major injury
1.7%
49% better than Ohio averageOhio average: 3.4%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
1.5%
Percent of long-stay high risk residents with pressure ulcers
1.5%
62% better than Ohio averageOhio average: 3.9%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.0%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Ohio averageOhio average: 0.5%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
5.3%
Percent of long-stay residents who lose too much weight
5.3%
15% better than Ohio averageOhio average: 6.2%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
4.9%
Percent of long-stay residents who have depressive symptoms
4.9%
79% better than Ohio averageOhio average: 24.0%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
7.7%
Percent of long-stay residents who received an antipsychotic medication
7.7%
8% better than Ohio averageOhio average: 8.4%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
96.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
96.5%
In line with Ohio averageOhio average: 92.4%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
89.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
89.4%
5% worse than Ohio averageOhio average: 94.5%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
0.48
Number of hospitalizations per 1,000 long-stay resident days.
0.48
73% better than Ohio averageOhio average: 1.77
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.31
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.31
28% better than Ohio averageOhio average: 1.83
Short-stay resident measures
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
92.1%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
92.1%
18% better than Ohio averageOhio average: 78.0%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Ohio averageOhio average: 1.3%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
82.1%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
82.1%
9% better than Ohio averageOhio average: 75.6%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
10.2%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
10.2%
59% better than Ohio averageOhio average: 25.1%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
6.0%
Percentage of short-stay residents who had an outpatient emergency department visit.
6.0%
52% better than Ohio averageOhio average: 12.5%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Ohio averageOhio average: 0.8%
Ability to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
21.2%
Percentage of residents at or above expected ability to care for themselves at discharge.
21.2%
60% worse than Ohio averageOhio average: 53.7%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
47.2%
Rate of successful return to home or community from a skilled nursing facility.
47.2%
7% worse than Ohio averageOhio average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Total fines amount
$0
100% lower than Ohio averageOhio average: $69K
Number of fines
0
100% fewer fines than Ohio averageOhio average: 1.9
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
86% more payment denials than Ohio averageOhio average: 0.5
Fines amount comparison
Fines amount comparison
This facility
$0
Ohio average
$69K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Payment Denial
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Oct 28, 2024
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Oct 28, 2024
16 days
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Main Street Terrace Care Center based on CMS SNF Cost Reports.
Occupancy Rate
89.8%
↑ 1.6pp vs 2022
Net Income
$278.7K
↑ ~$461.2K vs 2022
Total Payroll
$3.0M
↑ ~$404.0K vs 2022
Profit Margin
4.9%
↑ 8.1pp vs 2022
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