230 of the 922 Medicare-certified nursing homes in Ohio (25%) are independently owned, and all are listed below. 52 of the 230 graded homes earn an A and 10 earn a D or F. They average 4.07 nursing hours per resident per day, 0.38 hours above the 3.69 for every home in Ohio. Wooster Community Hospital Snf in Wooster grades highest at A (99 out of 100).
How independently owned homes in Ohio compare
This group set against every nursing home in Ohio, from the current CMS release.
Adams County Manor runs on thinner staffing than most homes, 3.44 nurse hours per resident day against a national average of 3.86, with weekends dipping about 9% below its own weekday levels. That's the number behind its one-star staffing rating, and the 59.3% annual turnover (well above the 45.8% national figure) means the aides and nurses cycling through are often new to the building. Inspections tell a different story: a four-star health inspection rating, no deficiencies at the harm or jeopardy level, and a clean record since March 2024. Still, 11 deficiencies in total, three tied to abuse, is not nothing. A for-profit corporation owns the 74 beds.
Woods Edge runs on 3.35 nurse hours per resident day, about 13% under the national average, and weekends dip roughly 10% below its own weekday numbers. Staff turnover sits at 61.2%, well above the 45.8% national figure, so the people caring for residents keep changing. The inspection record shows 45 deficiencies, one serious enough to cause harm, plus a $21,645 fine, and the most recent inspection was April 2026. Ownership is a for-profit limited liability company. Quality measures look strong on paper, but the staffing and inspection sides of the federal data tell a different story.
Vineyards At Concord runs 2.88 nursing hours per resident day, roughly a quarter below the national average of 3.86, and weekends drop about 9% below its own weekday levels. Turnover sits at 26.1%, well under the 45.8% national figure, so the staff who are there tend to stay. The inspection record is the harder part: 30 deficiencies, including one at the harm or jeopardy level and two tied to abuse, with the most recent inspection on April 28, 2026. Thirty-two beds under corporate ownership, and quality measures landing at the bottom of CMS's scale.
Gillette Nursing Home in Warren runs 99 certified beds under corporate ownership, and its inspection history is genuinely strong, a five-star health inspection rating with the most recent survey in March 2026. The catch sits in the other numbers. Total nurse staffing lands at 3.77 hours per resident day, slightly under the national average of 3.86, and weekends dip about 4% below the home's own weekday coverage. That shows up in the one-star staffing rating. Fifteen deficiencies are on the current record, none at harm or jeopardy level, but one is abuse-related. Quality measures score two stars, which means the clinical outcomes families actually watch for don't match the clean inspection sheet.
Momentous Health At Franklin runs 79 certified beds under individual for-profit ownership, and the numbers that matter most here are thin. Nurse staffing sits at 3.23 hours per resident day, roughly 16% under the national average, and weekends drop another 9% below what the home already provides on weekdays, so coverage is weakest exactly when families tend to visit. Annual turnover of 51.8% tops the national figure of 45.8%, meaning the aides and nurses caring for residents are often new to the building.
The inspection record is the harder read: 36 deficiencies, including one at the harm or jeopardy level and two tied to abuse. A 1-out-of-5 health inspection rating and a 1-out-of-5 staffing rating reflect that pattern, and the last survey was in September 2025.
Alpine runs on thinner staffing than most homes, about 3.5 nurse hours per resident each day, roughly 9% under the national average, and weekends drop another 10% below what the home itself staffs during the week. That matters because turnover sits at 54.3% against a national 45.8%, so the aides and nurses cycling through may be new to the building even when shifts are covered. The inspection record backs this up: 50 deficiencies, two at harm or jeopardy level and five tied to abuse, with a $28,130 fine and a May 2025 inspection still recent. The 4/5 quality measure rating reflects charted care items, not the hands-on coverage families actually feel.
The Oaks of West Kettering runs 118 certified beds under corporate for-profit ownership, and its staffing sits at 3.79 nurse hours per resident day, just under the national average of 3.86, with weekends running roughly 4% thinner than weekdays. Turnover tells a bigger story: 52.1% of staff leave annually, against a national rate of 45.8%. On inspections, the record is rough: 60 deficiencies, including five at the harm or jeopardy level and five tied to abuse, plus three fines totaling $75,572. The last inspection was July 30, 2024. Its quality measure star rating is strong at 5/5, but staffing sits at 2/5 and health inspections at 1/5, a split worth asking about directly.
Hill View Skilled Nursing and Rehabilitation Center is a 72-bed nonprofit home in Portsmouth with strong inspection and quality scores from CMS, 4 out of 5 on both. But look past the stars and the picture gets mixed: 19 deficiencies on its current record, including one that caused actual harm or put a resident in jeopardy. Staff turnover runs at 64.3%, well above the national average of 45.8%, which matters more than any rating when you're thinking about who's actually at the bedside day after day. The most recent inspection was July 2024, so the record is reasonably current. If you're considering this home, ask directly about that harm-level deficiency and how they've kept licensed staff from walking out the door.
The numbers at Embassy of Lebanon are hard to get past: 49 deficiencies on the current record, five of them serious enough to cause harm or jeopardy, and four tied to abuse. One fine totals $197,584, and nothing has been inspected since October 2022. Nurse staffing sits at 3.17 hours per resident day, roughly 18% under the national average, weekends run thinner than weekdays, and 68% of staff turned over in a year against a national 45.8%. A 5/5 on quality measures doesn't offset a 1/5 on both inspections and staffing, especially in a for-profit building. When staffing is this thin and oversight this distant, the daily experience for residents is the real question.
Spring Creek runs 120 certified beds in Green Springs under a for-profit LLC, and its staffing is the number that stands out. At 3.72 nurse hours per resident per day, it sits about 4% under the national average, and weekends drop roughly 7% below its own weekday level, so coverage thins out exactly when families tend to visit. Turnover at 41.3% is actually a bit better than the 45.8% national figure, which is the one bright spot. The inspection record is heavier: 31 deficiencies, including one at the harm level and two tied to abuse, plus a $77,618 fine. Its last inspection was February 2024.
Gardens Of North Olmsted runs on thinner nursing coverage than most homes, 3.27 hours per resident day against a national average of 3.86, with weekends dipping further below its own weekday levels. That shortfall shows up in the federal staffing rating, which sits at the bottom of the scale.
The inspection record is the bigger concern. The current file holds 56 deficiencies, including six tied to abuse, and the last full inspection was in December 2022, more than two years ago. A for-profit partnership operating 99 beds, this home also sees 58.5% of its nursing staff leave annually, well above the 45.8% national rate. Its quality measure scores look strong, but that data comes from the home's own reporting.
Marion Nursing & Rehab is a for-profit, 99-bed home where the numbers point in different directions. Nurse staffing sits at 3.47 hours per resident day, roughly 10 percent under the national average, and weekends run about 10 percent thinner than weekdays, a pattern that matters most when families visit and fewer hands are on the floor. Its 28 deficiencies include one at the harm level and one tied to abuse, alongside a $40,053 fine, and the most recent inspection was in February 2026. Staff turnover of 39.4 percent is actually better than the 45.8 percent national figure, so retention isn't the weak spot here. The inspection record and low staffing rating are.
Welcome Nursing Home in Oberlin runs a for-profit operation with 99 certified beds, and its staffing numbers are genuinely better than most: 4.09 nurse hours per resident per day, about 6% above the national average, with a 4/5 staffing rating to match. Turnover sits at 27.7%, well under the 45.8% national figure, which matters for consistency of care. The catch is inspections. The current record carries 22 deficiencies, including four tied to abuse, though none rose to the harm or jeopardy level. A 2/5 health inspection rating against a 4/5 on quality measures suggests the day-to-day clinical picture looks steadier than the survey history does. Weekend staffing drops roughly 13% below weekday levels, so ask how that plays out on Saturdays and Sundays.
Shady Lawn Nursing Home is a for-profit LLC operation in Dalton with 98 certified beds, and the numbers split sharply depending on where you look. The health inspection record is the real problem: 37 deficiencies on file, three of them serious enough to put residents in harm's way, plus five tied to abuse, and a single $40,950 fine. Staffing sits at 3.71 nurse hours per resident day, about 4% under the national average, and weekends drop roughly 6% below what the home itself manages during the week. Turnover at 42.1% is slightly better than the 45.8% national figure, so retention isn't the weak spot here, the inspection history is.
Lost Creek Rehabilitation and Nursing Center runs about 3.11 nurse hours per resident day, roughly 19% under the national average, and weekends drop another 13% below its own weekday pace. That thin coverage shows up in the staffing rating, which CMS puts at one star, and in turnover: 51.2% of staff leave annually against a national figure near 46%. Inspections tell a similar story, 29 deficiencies on the current record, three serious enough to involve harm or jeopardy, three tied to abuse, and $55,088 in fines across two cases. Ownership is for-profit, through a limited liability company. The most recent inspection was June 9, 2025, so the record is current.
Windsor Lane runs on a for-profit LLC model with 89 certified beds, and its staffing is genuinely better than most: 4.32 nurse hours per resident day, roughly 12% above the national average, with turnover at 39.8% compared to 45.8% nationally. That's a real strength, though weekends dip about 8% below the home's own weekday coverage. The trouble sits in inspections. A 2-out-of-5 health inspection rating and 42 deficiencies on record, one at harm or jeopardy level, seven abuse-related, tell you the day-to-day care environment has drawn repeated federal citations, most recently in July 2024. Strong quality scores and solid staffing numbers are offset by that inspection history, which is what pulls the overall picture down to average.
Wellspring Health Center runs 54 beds in Cincinnati under for-profit LLC ownership, and its nurse staffing sits at 3.67 hours per resident day, about 5% under the national average, with weekends running roughly 10% thinner than weekdays. That gap matters because staffing is thinner exactly when families tend to visit and when backup is hardest to call in. Staff turnover is 58.1% against a national 45.8%, and the inspection record shows 32 deficiencies, two of them serious enough to cause harm or jeopardy. The last inspection was in December 2025, so it's current, and there's one fine on record for $110,468. Quality measures look strong; the inspection and turnover numbers are the ones worth asking about directly.
Saint Joseph Care Center runs 60 beds in Louisville under corporate for-profit ownership, and its nurse staffing sits at 3.33 hours per resident day, roughly 14% under the national average of 3.86. Weekends drop another 13% below the home's own weekday coverage, and annual turnover of 54.1% means more than half the nursing staff leaves each year, well above the 45.8% national figure. The inspection record shows 29 deficiencies, including two at the harm or jeopardy level and four tied to abuse; that last inspection was January 5, 2026. With a 2-out-of-5 staffing rating and a 2-out-of-5 inspection rating against a 3-out-of-5 on quality measures, the pattern here is thin coverage, heavy turnover, and a recent record that warrants questions.
Rae Ann Geneva runs on thin staffing: 3.16 nurse hours per resident day, roughly 18% under the national average, and weekends drop about another 10% below its own weekday levels. That shortfall shows up in the numbers that matter most, a 69.3% annual turnover rate, a one-star CMS staffing rating, and a one-star health inspection rating. The current record carries 35 deficiencies, including one at the harm or jeopardy level and six tied to abuse. Its four-star quality measure rating reflects resident outcome data, but strong outcomes don't offset inspections that found real problems in May 2025, or a workforce where more than two-thirds of staff leave each year.
Bella Terrace runs on 3.17 nurse hours per resident day, roughly 18 percent under the national average, and weekends dip about 10 percent below its own weekday staffing. Turnover sits at 46.4 percent, basically in line with the national rate, so the shortfall isn't explained by churn alone, it's simply fewer hours per resident. The inspection record shows 58 deficiencies, three of them serious enough to put residents at harm or jeopardy, plus one $86,720 fine; the last inspection was July 2025. Corporate ownership and a one-star staffing rating round out the picture. The five-star quality measure score reflects reported care measures, not the hands available to deliver that care.
Frequently asked questions
How many independently owned nursing homes are there in Ohio?
There are 230 independently owned Medicare-certified nursing homes in Ohio, 25% of the 922 nursing homes there.
Are independently owned nursing homes better staffed?
In Ohio they average 4.07 total nursing hours per resident per day, against 3.69 for all nursing homes in Ohio, a difference of +0.38 hours. Staff turnover averages 49.1% against 48.7%.
Which independently owned nursing home grades best in Ohio?