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23 Independent Nursing Homes in Hamilton County, Ohio

23 of the 69 Medicare-certified nursing homes in Hamilton County, Ohio (33%) are independently owned, and all are listed below. 7 of the 23 graded homes earn an A and 2 earn a D or F. They average 4.13 nursing hours per resident per day, 0.34 hours above the 3.79 for every home in Hamilton County, Ohio. Twin Towers in Cincinnati grades highest at A (93 out of 100).

How independently owned homes in Hamilton County, Ohio compare

This group set against every nursing home in Hamilton County, Ohio, from the current CMS release.

Nursing hours per resident per day

4.13

All homes in Hamilton County, Ohio: 3.79

Better than the local average

Nurse staff turnover

52.9%

All homes in Hamilton County, Ohio: 51.5%

Worse than the local average

Average ElderGrade score

74.7/100

All homes in Hamilton County, Ohio: 73.1/100

Better than the local average

Grade spread

A
B
C
D

7 grade A, 8 grade B, 6 grade C, 2 grade D,

The best-graded independently owned home in Hamilton County, Ohio is Twin Towers in Cincinnati, OH, grade A, 93/100.

Every independently owned nursing home in Hamilton County, Ohio

Showing 21 to 23 of 23, best-graded first.

C

57/100

Harmony Court Rehab And Nursing

Cincinnati, OH · Hamilton County

CMS 2/5120 bedsFor-profitMedicaid
Nurse hours
3.50 /day
Staff turnover
77%
Serious cites
0

Harmony Court runs on thinner staffing than most homes, 3.50 nurse hours per resident day against a national average of 3.86, with weekends about 10% leaner than weekdays. That matters more when you see turnover at 76.9%, well above the 45.8% national figure, meaning the people caring for residents are frequently new. Its inspection record shows 74 deficiencies, including 2 at harm or jeopardy level and 10 tied to abuse, plus a $100,887 fine. The 5/5 quality measure score reflects charted care indicators, not the day-to-day picture; the 1/5 inspection rating and 2/5 staffing rating, from a for-profit LLC, tell you where the strain actually sits.

D

54/100

Astoria Place Of Cincinnati

Cincinnati, OH · Hamilton County

CMS 1/597 bedsFor-profitMedicaid
Nurse hours
3.28 /day
Staff turnover
67%
Serious cites
0

Special Focus Facility

Astoria Place Of Cincinnati runs 97 beds under for-profit LLC ownership, and its staffing sits at 3.28 nurse hours per resident day, roughly 15 percent under the national average, with weekends about 10 percent thinner than weekdays. Turnover tells its own story: 66.7 percent of staff leave each year, against a national rate near 46 percent. On inspections it holds a 1-out-of-5 star rating, with 72 deficiencies on record, including 4 at the harm or jeopardy level and 13 tied to abuse. Two fines total $147,294, and CMS has placed it in the Special Focus Facility program for homes with a persistent pattern of poor care.

D

53/100

Liberty Nursing Center Of Colerain Inc

Cincinnati, OH · Hamilton County

CMS 1/593 bedsFor-profitMedicaid
Nurse hours
3.02 /day
Staff turnover
70%
Serious cites
0

Liberty Nursing Center of Colerain runs on 3.02 nurse hours per resident day, roughly 22 percent under the national figure of 3.86, and weekends drop about 12 percent from its own weekday level. Turnover sits at 70.4 percent against a national average of 45.8, so the aides and nurses cycling through are largely new to the building. The inspection record shows 45 deficiencies, three involving harm or jeopardy and two tied to abuse, with the most recent inspection in February 2025. It's a 93-bed for-profit run by a corporation, and the low marks on all three CMS ratings reflect conditions that staffing and turnover numbers alone would predict.

Frequently asked questions

How many independently owned nursing homes are there in Hamilton County, Ohio?
There are 23 independently owned Medicare-certified nursing homes in Hamilton County, Ohio, 33% of the 69 nursing homes there.
Are independently owned nursing homes better staffed?
In Hamilton County, Ohio they average 4.13 total nursing hours per resident per day, against 3.79 for all nursing homes in Hamilton County, Ohio, a difference of +0.34 hours. Staff turnover averages 52.9% against 51.5%.
Which independently owned nursing home grades best in Hamilton County, Ohio?
Twin Towers in Cincinnati, OH, grade A, 93 out of 100.
Does being independently owned mean a nursing home is safe?
No. Of the 23 graded independently owned homes in Hamilton County, Ohio, 7 grade A and 2 grade D or F.
Do independently owned nursing homes in Hamilton County, Ohio accept Medicaid?
23 of the 23 are certified to accept Medicaid. See Medicaid and nursing homes.

Before you shortlist in Hamilton County, Ohio