59 Chain-Owned Nursing Homes in Cuyahoga County, Ohio
59 of the 92 Medicare-certified nursing homes in Cuyahoga County, Ohio (64%) are chain-owned, and all are listed below. They average 3.63 nursing hours per resident per day, 0.14 hours below the 3.77 for every home in Cuyahoga County, Ohio. Nurse staff turnover runs 54.9%, level with the 54.9% across all homes there. Daughters Of Miriam Center For Nursing & Rehabilit in Beachwood grades highest at A (92 out of 100).
How chain-owned homes in Cuyahoga County, Ohio compare
This group set against every nursing home in Cuyahoga County, Ohio, from the current CMS release.
O'Neill Healthcare Middleburg Heights runs 82 certified beds under for-profit LLC ownership, and its numbers pull in two directions. The clinical side looks solid on paper, a 4/5 inspection rating, a 5/5 quality measure rating, and turnover at 44.1%, slightly better than the national 45.8%. Staffing is where it slips: 3.47 nurse hours per resident day, roughly 10% under the national average, and weekends run about 15% below the home's own weekday level, which matters when families visit less and needs don't pause. Eleven deficiencies sit on the current record, one serious enough to reach harm or jeopardy level, with a single fine totaling $166,764. The most recent inspection was December 2025. Ask how they cover weekend gaps.
Diplomat Healthcare runs 130 beds in North Royalton, and the staffing numbers are the first thing I'd want you to see. At 2.97 nurse hours per resident per day, it sits roughly 23% under the national average of 3.86, and weekends drop about 9% below its own weekday level. That thin coverage shows up in the inspection record too: 41 deficiencies, four of them at harm or jeopardy level, four tied to abuse, and a one-out-of-five health inspection rating. Staff turnover of 40.4% is actually a bit better than the 45.8% national figure, which suggests the problem isn't retention so much as how many hands are scheduled. The five-star quality measure score reflects reported clinical data, not the care environment itself.
Northwestern Healthcare Center runs 100 certified beds in Berea, and the staffing numbers are where the trouble starts: 3.45 nurse hours per resident day, about 11% under the national average, with weekends dipping roughly 8% below its own weekday level. That thin coverage shows up in the inspection record, too, 33 deficiencies on file, including four at the harm or jeopardy level and one tied to abuse, plus three fines totaling $152,195. Annual turnover sits at 60% against a national 45.8%, so residents cycle through a lot of unfamiliar faces. The quality measure stars look strong, and the most recent inspection was in August 2025, but a for-profit operator with this citation history and this much churn is worth a hard look before you decide.
Seven Hills Health & Rehab Center runs 80 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.90 hours per resident day, barely above the national average of 3.86, and thin enough that weekends run about 11% below the home's own weekday coverage. Staff turnover is the bigger worry: 58.9% annually against a national 45.8%, meaning more than half the nursing staff leaves each year. The inspection record shows 38 deficiencies, including one at the harm or jeopardy level and two tied to abuse, plus a $57,194 fine. A recent July 2025 inspection keeps the record current, but its two-out-of-five stars for health inspections and staffing tell you where the problems concentrate.
King David runs 355 certified beds in Beachwood under for-profit LLC ownership, and its staffing numbers are a mixed picture. Total nurse coverage of 4.88 hours per resident day sits about 26% above the national average, but weekends run roughly 21% leaner than weekdays, and annual turnover hits 63.5% against a national 45.8%, so coverage depends heavily on who's still there. The inspection record is the harder read: a 1-out-of-5 health inspection rating, 64 deficiencies including one at the harm or jeopardy level and six tied to abuse, plus a $10,221 fine. Quality measure scores look strong on paper, but the last inspection closed in September 2025, and the staffing math doesn't erase what surveyors found.
Cityview runs 146 beds on Cleveland's east side, and the corporate owner's staffing shows it: 3.02 nurse hours per resident day against a national average of 3.86, with weekends about 13% thinner than weekdays. Turnover sits at 48.4%, slightly above the national 45.8%. The inspection record is the harder problem, 55 deficiencies, six at harm or jeopardy level, eight tied to abuse, and $193,120 in fines across five penalties. CMS has placed it in the Special Focus Facility program, reserved for homes with persistent serious problems. The last inspection was November 2022. Resident satisfaction surveys look strong, but that measure doesn't capture whether enough hands are present.
Crawford Manor is a 50-bed for-profit in Cleveland, and the numbers split in two directions. The quality measures look strong, but everything about how the place is run and inspected tells a different story: a one-star health inspection rating, 47 deficiencies on the current record including three at the harm level and seven tied to abuse, plus two fines totaling $25,366. Staffing sits at 3.79 hours per resident day, slightly under the national average, and it thins out on weekends by roughly 14 percent. Turnover at 42.9 percent is a bit better than the national figure, but that's faint comfort. The last inspection was December 2023, so the record may not reflect what's happening now.
Highland Pointe runs 96 beds in Highland Heights under corporate ownership, and the staffing numbers tell the most immediate story: 3.70 nurse hours per resident day against a national average of 3.86, with weekends dropping about 14 percent below the home's own weekday levels. That thin weekend coverage matters more given a 61.4 percent annual turnover rate, well above the 45.8 percent national figure, familiar faces are hard to keep when the schedule thins out. The inspection record reinforces the concern: 26 deficiencies on file, three serious enough to reach harm or jeopardy level, and one fine totaling $28,276, with the most recent inspection in March 2024. Quality measure scores look strong at 4 out of 5, but that's measured against a staffing picture that's below average and a turnover rate that's high.
Rocky River Gardens runs on 3.21 nurse staffing hours per resident day, roughly 17 percent under the national average, and weekends drop another 14 percent below its own weekdays. That thin coverage shows up in the numbers: a one-star CMS staffing rating, 58.7 percent annual turnover against a national 45.8 percent, and a one-star health inspection rating backed by 44 deficiencies on record, five of them at harm or jeopardy level and three tied to abuse. The $68,068 in fines across three actions and an April 2024 inspection round out a pattern that's hard to read kindly. Its five-star quality measure score stands alone against all of it.
The nurse staffing number here is the first thing I'd look at. At 3.43 hours per resident day, it runs about 11% under the national average, and weekends drop roughly 9% below the home's own weekday level, so coverage is thinnest when families tend to visit. Annual turnover of 67.3% sits well above the 45.8% national figure, which means the people caring for your relative are often new to the building. Inspections tell a similar story: 32 deficiencies on record, including one at the harm level and four tied to abuse, plus a $183,316 fine. The last inspection was September 2023, so that record has had time to age without a fresh look.
The Gardens of Fairfax runs on thin staffing. At 3.71 nurse hours per resident day, it sits just under the national average, and weekends drop roughly 17% below its own weekday levels, meaning the thinnest coverage lands when families tend to visit. Turnover tells the harder story: 68.8% of staff leave each year, well above the 45.8% national figure, so the people caring for residents keep changing.
The inspection record is heavy, 47 deficiencies, including one at the harm level and seven tied to abuse, plus 24 fines totaling $145,170. The most recent inspection was in February 2026, so the record is current. Corporate ownership is a for-profit limited liability company.
Avenue At Brooklyn runs 111 certified beds under for-profit LLC ownership, and the numbers that matter most here are thin. Nurse staffing sits at 3.16 hours per resident day, roughly 18% under the national average, and weekends dip about 7% below the home's own weekday level, so coverage is lightest exactly when families tend to visit. Staff turnover is 61.5%, well above the 45.8% national figure, which means the people providing care keep changing. The inspection record shows 35 deficiencies, including three at harm or jeopardy level and three tied to abuse, with $56,301 in fines and a February 2025 inspection. Quality measures score well; staffing and inspections do not.
Gardens Of Euclid Beach runs on thin nursing coverage: 3.42 hours per resident day against a national average of 3.86, with weekends dipping about 12% below its own weekday levels. That shortfall shows up in the workforce itself, 71.4% annual turnover, well above the 45.8% national figure. The inspection record is the harder read: 60 deficiencies, two at harm or jeopardy level, two tied to abuse, and a single $200,605 fine, with the most recent inspection in September 2025. A for-profit limited liability company operates the 99-bed home. Its quality measure score looks strong, but staffing and inspection results sit at the bottom of CMS's scale, and those are the measures families feel day to day.
University Manor runs on 3.01 nurse staffing hours per resident per day, about 22 percent under the national average of 3.86, and weekends dip roughly 6 percent below its own weekdays, so coverage is thinnest exactly when families tend to visit. Its inspection record carries 47 deficiencies, including two at the harm or jeopardy level and six tied to abuse, plus $32,394 in fines. Staff turnover sits at 47.8 percent against a national 45.8, and the last inspection was December 5, 2024. As a nonprofit corporation, it isn't chasing shareholder returns, but that structure hasn't translated into stronger numbers here.
Avenue Care and Rehabilitation Center is a for-profit, limited-liability operation in Warrensville Heights with 97 certified beds, and its staffing numbers tell a hard story. Nurses provide 3.58 hours per resident day, roughly 7% under the national average, and weekend coverage drops about 9% below the home's own weekday level. Annual turnover sits at 67.5%, well above the 45.8% national figure, meaning the people caring for residents are constantly changing. The inspection record is heavier still: 53 deficiencies, including 3 at harm or jeopardy level and 2 abuse-related, with $34,146 in fines across two penalties. Federal ratings put staffing and health inspections at 1 out of 5 stars each, though quality measures score 4. The last inspection was August 13, 2025.
East Park Care Center runs on 3.08 nursing hours per resident day, roughly a fifth below the national average, and weekend coverage slips about 9% below what it manages on weekdays. Staff turnover sits at 72.1% against a national rate near 46%, so the people around your family member change often. On its current record: 44 deficiencies, three involving harm or jeopardy, three tied to abuse, and $84,417 in fines across two penalties. The last inspection was in late October 2024. The five-star quality measure score reflects resident assessments, but the one-star inspection and staffing ratings describe what surveyors found and how thin the floor coverage is.
Avenue At Lyndhurst runs 3.67 nurse hours per resident day against a national average of 3.86, and weekends drop about 12% below its own weekday staffing. That schedule gap matters more when turnover sits at 72.4%, well above the 45.8% national figure, because replacements are constantly learning the floor. The inspection record is the harder problem: 59 deficiencies, including one at harm or jeopardy level and one abuse-related, with a 1-out-of-5 inspection rating despite a recent visit in August 2025. Quality measures score 5 out of 5, but strong clinical numbers don't offset thin weekend coverage and a long list of cited problems. It's for-profit, LLC-owned, 102 beds.
Heritage Healthcare of Lyndhurst runs on thin staffing: 3.65 nurse hours per resident day against a national average of 3.86, with weekends about 13% leaner than weekdays. The bigger problem is who stays, turnover hits 73.1% a year, well above the 45.8% national figure, so residents cycle through a lot of unfamiliar faces. The inspection record backs that up: 73 deficiencies, including four at harm or jeopardy level and four tied to abuse, plus $149,620 in fines across two penalties. That combination, one-star inspections and one-star staffing, corporate for-profit ownership, a recent April 2025 survey, is what drives the grade down, whatever the quality measures say.
Crocker Pointe runs 96 certified beds in Westlake under corporate for-profit ownership, and its nurse staffing sits at 3.71 hours per resident day, roughly 4% under the national average of 3.86. The bigger thing to notice is the weekend gap: care hours drop about 10% below the home's own weekday level, so a Saturday or Sunday shift is where you'd want to ask questions. What stands out in the other direction is the record itself: zero deficiencies, none at the harm or jeopardy level, and nothing abuse-related, with a state inspection completed January 28, 2025. No home is perfect, but a clean survey plus recent review is a real signal.
Frequently asked questions
How many chain-owned nursing homes are there in Cuyahoga County, Ohio?
There are 59 chain-owned Medicare-certified nursing homes in Cuyahoga County, Ohio, 64% of the 92 nursing homes there.
Are chain-owned nursing homes better staffed?
In Cuyahoga County, Ohio they average 3.63 total nursing hours per resident per day, against 3.77 for all nursing homes in Cuyahoga County, Ohio, a difference of -0.14 hours. Staff turnover averages 54.9% against 54.9%.
Which chain-owned nursing home grades best in Cuyahoga County, Ohio?